Yokoyama M, Seki N, Oda T, Takeuchi M, Tanada S
Department of Urology, Ehime University School of Medicine, Japan.
Int J Urol. 1994 Sep;1(3):212-5. doi: 10.1111/j.1442-2042.1994.tb00037.x.
The relationship between the period for recovery from hydronephrosis and the characteristics of the obstruction still needs to be clarified. In rat kidney the left ureter was completely obstructed for 3, 7, 14 and 21 d and the renal function was measured by renal scintigraphy using 99mTC-dimercaptosuccinic acid 3, 7 and 14 d after the obstruction was removed. In addition, recovery from unilateral partial obstruction (PO) of different degrees of severity for 7 d was examined. The kidneys with very mild PO recovered within 3 d and those with a very long period of complete obstruction (CO) did not exhibit any significant recovery. However, most of the kidneys with CO of various durations and those with 7 days PO of various degrees of severity exhibited maximum recovery 7 d after the release of the obstruction. This study suggests that the period required for maximum recovery from hydronephrosis is usually constant, unless the obstruction is too mild to cause any damage or too long to permit any recovery.
肾积水恢复所需时间与梗阻特征之间的关系仍有待阐明。在大鼠肾脏中,左输尿管被完全梗阻3、7、14和21天,在解除梗阻后3、7和14天,使用99m锝-二巯基丁二酸通过肾闪烁显像法测量肾功能。此外,还研究了不同严重程度的单侧部分梗阻(PO)7天后的恢复情况。非常轻度PO的肾脏在3天内恢复,而完全梗阻(CO)时间很长的肾脏则没有表现出任何显著恢复。然而,大多数不同持续时间的CO肾脏以及不同严重程度的7天PO肾脏在梗阻解除后7天表现出最大恢复。这项研究表明,肾积水最大恢复所需的时间通常是恒定的,除非梗阻过于轻微以至于不会造成任何损害,或者过长以至于无法恢复。