Kesavan P, Fowler R
Urology. 1977 Aug;10(2):105-9. doi: 10.1016/0090-4295(77)90005-x.
The unusual combination of reflux and obstruction as seen in 8 of a series of 40 unduplicated ureters reimplanted for reflux is presented, with particular reference to the mechanical obstructing factors which can be demonstrated. These involve the extravesical rather than the intravesical ureter so that separate pathologic mechanisms for obstruction and reflux must be postulated. This unusual obstruction/reflux combination appears to be more common than is generally recognized, and the need for its early recognition and surgical correction contrasts with the less urgent indications for operative intervention in ureteric reflux alone.
在40例因反流而重新植入的非重复输尿管中，有8例出现了反流与梗阻的异常组合，并特别提及了可证实的机械性梗阻因素。这些因素涉及膀胱外输尿管而非膀胱内输尿管，因此必须假定梗阻和反流存在不同的病理机制。这种异常的梗阻/反流组合似乎比普遍认为的更为常见，早期识别并进行手术矫正的必要性与单纯输尿管反流手术干预的指征相对不那么紧急形成了对比。
