Verebélyi A, Szabó V, Frang D
Z Urol Nephrol. 1977 Sep;70(9):633-40.
The basis of the examination is a clinical material of 14 years (from 1960 to 1973) of the urological clinic of the Medical University "Semmelweis", consisting of 160 patients with renal hypoplasia. In 116 of these cases a nephrectomy was performed. The average postoperative observation time was 7.8 years. By removal of the hypoplastic kidney the hypertension could be successfully influenced in 72% of the cases and in 16% moderately; in 12% of the patients the high blood pressure remained unchanged also after the intervention. On account of the recognition resulting from the examinations that by the hypoplastic kidney alone no increase of the blood pressure is caused, but the developmental anomaly forms a basis for the development of the hypertension, is emphasized that the early removal of this abnormally developed kidney is by all means indicated.
这项检查的基础是塞梅尔维斯医科大学泌尿外科14年(1960年至1973年)的临床资料,包括160例肾发育不全患者。其中116例进行了肾切除术。术后平均观察时间为7.8年。通过切除发育不全的肾脏,72%的病例高血压得到成功控制,16%的病例得到中度控制;12%的患者在干预后血压仍未改变。鉴于检查结果表明,仅发育不全的肾脏不会导致血压升高,但这种发育异常是高血压发展的基础,因此强调必须尽早切除这种发育异常的肾脏。