输尿管

Non-perfectibility or ureter placket for bladder of perfectibility both-ureter anamorphosis and calculus use ureteroscopy atmospheric pressure trajectory classic rock cure hurt for a while、cicatrize fast.

不完全性或输尿管开口于膀胱的完全性双输尿管畸形并结石用输尿管镜气压弹道碎石术治疗创伤小、愈合快。

Treatment method uses 1 · Germany produces · of 0/9 of · of Wolf F 8 lens of 0 rigid ureter kidney, homebred APL baric and ballistic stone crusher and homebred microcomputer charge pump.

现将护理心得报告如下。1资料和方法1·1临床资料本组102例，其中男72例，女30例，年龄19~65岁(平均42岁)；左侧输尿管55例，右侧输尿管42例，双侧5例；其中1例行体外冲击波碎石术治疗多次结石未粉碎，2例为ESWL治疗后引起"石街"。1·2治疗方法采用德国产Wolf F 8·0/9·0硬性输尿管肾镜，国产APL型气压弹道碎石机以及国产微电脑灌注泵。

Laparoscope combined with cystoscope for the treatment of upper tract transitional cell carcinoma is safe and effective.

对肾盂癌和中、上段输尿管癌采取腹腔镜联合膀胱镜行肾、输尿管全长切除可闭合输尿管末端，避免术中肿瘤种植，是一种安全有效的手术方式。

Methods Three hundred and fifty patients for laparoscopic surgery were admitted to our department from August 2001 to February 2002. They included 45 cases of adrenal glands surgery, 55 simple nephrectomy, 25 radical nephrectomy, 11 nephroureterectomy, 3 partial nephrectomy, 110 renal cyst decortication, 4 polycystic kidney decortication, 12 ureterolithotomy, 16 pyeloplasty, 3 retrocaval ureteroplasty, 58 varicocele-varix ligation and 8 pelvic lymph node dissection.

从2001年8月～2004年2月，350例患者施行了腹腔镜下泌尿外科手术，其中肾上腺手术45例，单纯肾切除55例，根治性肾切除25例，肾输尿管全切11例，肾部分切除3例，肾囊肿去顶术110例，多囊肾去顶减压术4例，输尿管切开取石术12例，UPJ成型术16例，腔静脉后输尿管成型术3例，精索静脉高位结扎术58例，盆腔淋巴结切除术8例。

Results:The following were observed and measured:the location where the genitofemoral nerve coming out from the psoas major,the plane of the location the highest plane of the iliac crest,common iliac vessels branch plane,the distance between the ureter and the lateral part of the psoas major,the distance between the genitofemoral nerve and the lateral part of the psoas major,the distance between the genitofemoral nerve and the ureter,the location at the decussation of the genitofemoral nerve and the ureter.

结果：观测了生殖股神经穿出腰大肌的位置；在穿出点平面、髂嵴最高点平面、髂总血管分叉平面，输尿管距离腰大肌外侧缘的水平距离，生殖股神经距离腰大肌外侧缘的水平距离，生殖股神经与输尿管的水平距离；生殖股神经与输尿管交叉点与腰大肌外侧缘的水平距离，交叉点距离髂嵴最高点平面的垂直距离。

Result The contour of bilateral kidney,renal pelvis and calices and ureters were showed clearly with digital laminography.19 cases showed normal.55 cases showed renal or ureteral calculus,ureterohydronephrosis.16 cases were chronic pyelonephritis,renal atrophy or renal tum...

结果运用数字化成像体层摄影能较好显示双肾轮廓，肾盂、肾盏及双侧输尿管，不单能较好显示肾结石、输尿管结石，对慢性肾盂肾炎、肾萎缩等肾内科肾病显示清楚，19例显影正常，肾结石及输尿管结石，肾积液及输尿管积液共55例，慢性肾盂肾炎、反流性肾病所致的肾瘢痕、肾萎缩、肾肿瘤等内科肾病16例。

On IVU, the signs indicating radiolucent ureteral calculus were as follows: full-length opacification of unilateral ureter with mild dilatation, abrupt narrowing of a segment of the ureter, break of opacification of a short segment of the ureter, thickened interureteric ridge, abrupt separating sign, obstructive nephrogram, filling defect and calculous staining.

IVU与阴性结石相关的征象有：一侧输尿管全程显影伴轻度扩张；输尿管某段突然萎陷变窄；输尿管某短段造影剂中断；输尿管间嵴增宽；截断征；梗阻性肾实质像；充盈缺损；结石染色。

Abstract］ objective to evaluate the distinctive clinical value of magnetic resonance urographymru）in the diagnosis of primary ureteral carcinoma.methods to compare the accuracy of diagnosis of mru with ultrasonography,urography,retrograde ureteropyelography and ct,diagnostic imaging and progress of ureteral carcinoma were analyzed in twenty-four cases from 2000 to 2006,twenty cases had mru examinations.the original preoperative diagnostic reports of various imaging facilities were analyzed on account of the results of operation and pathology.results mru could clearly show the obstructive location of ureter.with regard to the ureteral carcinoma,accuracy of the location diagnosis was 100%.mru was superior to ulstrasonography,kub+ivp,ureteropyelography and ct we used to apply.conclusion comparing with other diagnostic imaging facilities,it has an important value in highly efficient,accurate location,safe,noninvasive and so on with mru,which can be used to show the features of primary ureteral carcinoma and has a wider scope of clinical application.

目的 探讨磁共振水成像技术在原发性输尿管肿瘤中的临床诊断价值。方法分析2000～2006年24例原发性输尿管肿瘤的影像学诊断结果，并基于术中所见和病理报告，将磁共振水成像技术20例）与超声24例）、泌尿系造影24例）、逆行造影15例）、ct(19例）的确诊率相比较。结果 mru能清晰显示输尿管的梗阻部位，定位诊断准确率为100%，梗阻病因确诊率高于b超、泌尿系造影、逆行造影和ct检查。结论与其他影像诊断方法相比较，磁共振水成像在显示原发性输尿管肿瘤特征方面具有效率高、定位准确和安全无创等重要价值，而且有更广泛的临床应用范围。

Results one case with bladder injury and one case with ureteral injury recoveried after open operation,one case with bladder injury and one case with ureteral injury were cured through laparoscopic gynecological surgery,one case with bladder injury and two cases with uroschesis were cured after expectant treatment,one case with ureteral injury recoveried after being treated with ureteroneocystostomy.

结果 1例膀胱损伤及1例输尿管损伤术中转开放术治愈；1例膀胱损伤及1例输尿管损伤经术中镜下缝合伤口治愈；1例膀胱损伤经留置尿管保守治疗治愈；2例尿潴留均经保守治疗治愈；1例输尿管损伤经术后行输尿管膀胱再植术治愈。

The peristalses of the dilated ureter could be seen but it disappeared in the end of the ionvolved ureter,which was of normal calibrc.Delay in the empty of ureter was seen.The ureter counter current from the bladder could not be found.

而扩张输尿管末端临近膀胱入口处管径正常，为功能性梗阻段，长度为1～2cm；（2）除功能性梗阻段以外，其余段输尿管的蠕动一般正常，早期有时可见高蠕动；（3）扩张输尿管排空延迟；（4）无膀胱输尿管返流；（5）本病的X线造影检查应选用大剂量静脉尿路造影，造影时早期解除腹压带，增加延迟摄片，并加照膀胱斜位点片，加强动态观察。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。