Timmons J W, Malek R S, Hattery R R, Deweerd J H
J Urol. 1975 Jul;114(1):6-9. doi: 10.1016/s0022-5347(17)66930-1.
Records of 72 consecutive patients with caliceal diverticula, representing an incidence of 4.5 per 1,000 excretory urograms, were studied. Of these 72 patients, 39 per cent had a history of recurrent infections and an equal number had stone-containing diverticula. However, only 17 per cent had roentgenographic evidence of pyelonephritis. Similarity of incidence in children and adults, as well as a paucity of renal infection and scarring, supports an embryologic etiology. In our experience the need for surgical intervention is much less than is suggested in the literature.
对72例连续的肾盂憩室患者的记录进行了研究,其在每1000例排泄性尿路造影中的发生率为4.5。在这72例患者中,39%有反复感染史,有结石的憩室患者数量与之相同。然而,只有17%有肾盂肾炎的X线证据。儿童和成人发病率相似,以及肾脏感染和瘢痕形成较少,支持胚胎学病因。根据我们的经验,手术干预的必要性远低于文献中所建议的。