Stabler J
Br J Radiol. 1977 Jul;50(595):493-8. doi: 10.1259/0007-1285-50-595-493.
Five patients are described with hydronephrosis and hydroureter associated with advanced uterine prolapse. Various hypotheses have been advanced in the literature to account for this neglected syndrome. A trial was carried out to assess whether all patients presenting with uterine prolapse should be screened to exclude urinary tract obstruction. Thirty-seven patients on the waiting list for surgery for various degrees of prolapse had an IVU and a blood urea estimation. No cases of ureteric obstruction were found, presumably because the lesser grades of prolapse predominated. It is, therefore, considered that all patients with prolapse do not need intravenous urography, which should be restricted to women with complete procidentia.
本文描述了5例伴有严重子宫脱垂的肾盂积水和输尿管积水患者。文献中提出了各种假说来解释这一被忽视的综合征。进行了一项试验，以评估是否应对所有子宫脱垂患者进行筛查，以排除尿路梗阻。37例因不同程度脱垂而等待手术的患者接受了静脉肾盂造影（IVU）和血尿素测定。未发现输尿管梗阻病例，推测是因为较轻程度的脱垂占多数。因此，认为并非所有脱垂患者都需要进行静脉肾盂造影，该检查应仅限于完全子宫脱垂的女性。
