Köllermann M W, Scherf H
Monatsschr Kinderheilkd (1902). 1977 Sep;125(9):834-8.
In 14 girls and 5 women with recurrent urinary tract infections after successfull antireflux-operation we performed 72 bladder-wash-out-tests. Whereas preoperatively 50% of the patients had a supravesical bacteriuria, only 25% had it postoperatively. Most of the postoperativ vesical and supravesical bacteriurias were interpreted as reinfections. The demonstrated postoperativ ascension of bacteria in the upper urinary tract in spite of successfull surgical treatment cannot be taken as an argument against operation. The postoperative supravesical bacteriurias are less frequent and have less morbidity than the prepoerative supravesical infections.
在14名女童和5名成年女性中,她们在抗反流手术成功后反复发生尿路感染,我们对其进行了72次膀胱冲洗试验。术前50%的患者存在膀胱上尿路感染,而术后只有25%的患者出现这种情况。术后大多数膀胱和膀胱上尿路感染被解释为再感染。尽管手术治疗成功,但仍显示术后上尿路细菌上行,这不能作为反对手术的理由。术后膀胱上尿路感染的发生率低于术前,且发病率也较低。