Pytel A
Int Urol Nephrol. 1976;8(1):3-9. doi: 10.1007/BF02081985.
Renal colic always involves pelvic hypertension and severe urodynamic disturbances which result in fornical reflux, urine leakage to renal interstitial tissues, to tissues of the renal sinus, and sometimes to the retroperitoneal space. If the urinary tract is infected, renal colic may lead to acute pyelonephritis and generalized infection, as well as to bacteriemic shock. Of great importance in the origin of retroperitoneal fibrosis are fornical refluxes. Since renal colic is the most frequent cause of pyelorenal reflux, patients with renal colic should be promptly given appropriate treatment aimed at eliminating or at least lowering pelvic hypertension.
肾绞痛总是伴有肾盂高压和严重的尿动力学紊乱，进而导致肾盏反流、尿液漏入肾间质组织、肾窦组织，有时还会漏入腹膜后间隙。如果泌尿系统发生感染，肾绞痛可能会引发急性肾盂肾炎和全身性感染，以及菌血症性休克。肾盏反流在腹膜后纤维化的发病机制中具有重要意义。由于肾绞痛是肾盂肾反流最常见的原因，因此对于肾绞痛患者应及时给予适当治疗，旨在消除或至少降低肾盂高压。
