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巨输尿管

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Three Cases with hydronephrosis were located in left kindey, and 3 cases in bilateral kidneys. Of 5 kidneys in 4 cases of ureteropelvic junction obstruction, Anderson-Heny's procedure was performed in 4 kidneys, and nephrectomy was performed in 1 hydronephrotic kidney because the renal function had lost. Cohen's procedure was performed in all 3 individual hydronephrotic kidneys in 2 cases.

病因及治疗:肾盂输尿管连接部梗阻4例5只肾,4只肾做了Anderson-Heny's手术,1只肾无功能行肾切除术;2例3只肾为巨输尿管症,均行Cohen's法输尿管膀胱移植术,其中1例合并膀胱重复畸形,手术中同时行共同壁切除;l例出生后肾积水渐减轻,未特殊处理,正在随访中。

Results In all of them,duplication of pelvis and ureter 6 cases, ureterocele 2 cases, stricture in ureteropelvisc junction 3 cases,congenital megaloureter 6 cases,Conclusion MRU is a safe and noninvasive method for diagnosis the urinary system congenital diseases,especially for infant and young children.

结果:MRU诊断双肾双输尿管畸形6例,输尿管囊肿2例,肾盂输尿管交界处狭窄3例,先天性巨输尿管6例,仅对其中1例伴发的输尿管开口异常未显示。结论:MRU是一种安全有效的无创性影像检查方法,尤其适用于婴幼儿,对先天性泌尿系疾病具有特殊的诊断价值。

Among them, 28 cases (65.1%) were renal uterteral urolithiasis, 4 cases (9.2%) were renal and ureteral tuberculosis, 3 cases (7.0%) were renal and ureteral neoplasm, 2 cases (4.6%) were chronic inflammatory diseases, 1 case (2.3%) was rupture of the ureter, 2 cases (4.6%) were duplication deformity, 1 case (2.3%) was congenital megaureter, 1 case (2.3%) was congenital ureterostenosis, 1 case (2.3%) was retroperitoneal fibrosis.

其中,肾和输尿管结石28例(65.1%),肾及输尿管结核4例(9.2%),输尿管肿瘤3例(7.0%),慢性炎症2例(4.6%),输尿管破裂1例(2.3%),重复肾盂输尿管畸形2例(4.6%),先天性巨输尿管1例(2.3%),先天性输尿管狭窄1例(2.3%),腹膜后纤维化1例(2.3%)。

Methods:15 cases with congenital megaureter confirmed by operation and pathology were reviewed.Results:One or two ureters were involved.

分析15例经手术、病理证实的先天性巨输尿管症的X线尿路造影片及造影时的动态观察记录。

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