The natural history of reflux and long-term effects of reflux on the kidney.

作者: Daniel Lenaghan , John G. Whitaker , Frederick Jensen , F. Douglas Stephens

DOI: 10.1016/S0022-5347(17)59352-0

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摘要: AbstractSpontaneous cessation of vesicoureteral reflux occurred in 42 per cent 102 patients. It ceased 65 the patients with unilateral reflux, 50 those bilateral normal caliber ureters and 9 dilated ureters.Renal parenchymal changes were seen most frequently urinary infection after diagnosis. The likelihood such infections lessened if ceased. Proportionately more male than female subjects free infection.Renal damage may follow even 1 episode infection. Lesions appeared equal frequency during entire followup period, whereas was common 5-year period Renal likely to occur kidneys that already abnormal.Reflux should be controlled surgically diagnosis long-term chemotherapy careful observation. In absence indications for operation are infrequent. ...

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