输尿管膀胱的

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。

Methods 25 patients with upper tract transitional cell carcinoma underwent resection under Laparoscope and cystoscope. Integrity and the detent of ureterostoma was detected after the operation.

对25例肾盂肿瘤或中上段输尿管肿瘤的患者采取腹腔镜联合膀胱镜行肾、输尿管全长切除，术后检查手术标本的完整性，并行输尿管内压力测定，对输尿管口的封闭性进行评估。

The positive rates of retrograde ureteropyelography,CT scanning,IVP,ultrasonography were86.7%、50%、12.5%、12.5%respectively.31of40cases were treated by total nephroureterectomy with segmental cystectomy,3cases by segˉmental ureterocystectomy with ureteroneocystostomy,2cases by segmental ureterectomy with end-to-end anastomoˉsis,2cases by single resection of tumor,2cases by resection of residual ureter with segmental cystectomy.

逆行输尿管插管造影、CT、IVP、B超检查的阳性率分别是86.7%、50%、12.5%、12.5%。40例患者中行患肾+全段输尿管+膀胱部分切除术31例，输尿管下段切除术+膀胱吻合术3例，输尿管肿瘤切除+输尿管端端吻合术2例，单纯输尿管肿瘤切除术2例。

In 13 cases with no nephrohydrosis,caculuses less than 3.8 mm in diameter were found.Conclusion CT is the most valuable way to diagnose ureteral calculus at the lower end of ureter.

CT检查输尿管膀胱入口处结石具有准确、无创、直观等优点，是诊断输尿管膀胱入口处结石不可替代的检查方法。

Results Ureteral calculuses were showed as high density image in CT scanning.The CT values of the ureteral calculuses less than 7.5mm in diameter were beyond 83HU.The detection rate by CT was 96.3%.In all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.

结果 输尿管膀胱入口处结石具有特征性的CT表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，CT值≥83HU，CT确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。

The CT values of the ureteral calculuses less than 7.5mm in diameter were beyond 83HU.The detection rate by CT was 96.3%.In all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.In 13 cases with no nephrohydrosis,caculuses less than 3.8 mm in diameter were found.

结果 输尿管膀胱入口处结石具有特征性的CT表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，CT值≥83HU，CT确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。

objective to study the ct diagnosis of ureteral calculus at the distal end of ureter.methods 82 cases of ureteral caculus were examined by ct scanning.all cases were proved by clinical therapeutic results.results ureteral calculuses were showed as high density image in ct scanning.the ct values of the ureteral calculuses less than 7.5mm in diameter were beyond 83hu.the detection rate by ct was 96.3%.in all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.in 13 cases with no nephrohydrosis,caculuses less than 3.8 mm in diameter were found.conclusion ct is the most valuable way to diagnose ureteral calculus at the lower end of ureter.appropriate methods of ct scanning are essential.

目的 回顾性分析输尿管膀胱入口处结石的ct诊断结果，评价其ct检查的临床应用价值。方法分析82例输尿管膀胱入口处结石的ct检查结果，所有病例均经尿道排石证实。结果输尿管膀胱入口处结石具有特征性的ct表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，ct值≥83hu，ct确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。结论 ct检查输尿管膀胱入口处结石具有准确、无创、直观等优点，是诊断输尿管膀胱入口处结石不可替代的检查方法。

To minimize complications from urine reservoir constructed with an intestinal segment,reticular transplantation of bladder mucosa to an intestinal seromuscular segment was conducted in 3 randomized groups of canines.

为减少肠管膀胱术的并发症，于1994年3～7月，用犬分三组作了膀胱粘膜点状移植于浆肌层肠段重建膀胱的实验。A组：自体膀胱粘膜点状移植于浆肌层肠段形成人工膀胱，B组：在A组基础上一期将输尿管与人工膀胱吻合，C组：将同种异体膀胱粘膜移植于浆肌层肠段。

Methods A retrospective analysis was performed in 14 cases of urinary obstruction among 1090 cases of transplanted kidney in the year 2000-2006, including 9 cases of vesicoureteral anastomotic stricture, 6 of whom received a second vesicoureteral anastomosis, one had infection surrounding the renal graft and ureter end necrosis, two ureteral anastomosis with bladder muscle flap, and one stenostomia aerocyst distention under ureteroscope.

回顾总结2000-2006年我院1090例肾移植患者中的14例移植后上尿路梗阻患者，其中输尿管膀胱吻合口狭窄9例，6例行膀胱输尿管二次吻合手术，1例移植肾周感染输尿管末段坏死采用移植肾近端新鲜存活输尿管与自体输尿管吻合，1例采用膀胱肌瓣代移植输尿管，1例采用输尿管镜下气囊扩张后放置双J管。

Ultrasonographymay be preliminary diagnostic method for ureteral carcinoma because it can showhydronephrosis,retrograde ureteropyelography and CT scanning were main diagnostic measures before operation.

残余段输尿管+膀胱部分切除术2例。结论 B超发现肾积水可作为初步筛选检查，逆行输尿管插管造影、CT是术前诊断输尿管癌的重要手段。

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。