不完全重复输尿管畸形合并结石7例报道
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The report of 7 cases with incomplete duplicate ureter malformation associate with calculi
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    摘要:

    目的 总结不完全重复输尿管畸形合并结石的诊断与治疗经验.方法 收集不完全重复输尿管合并结石病例7例,所有患者均接受B超及IVP检查,1例行MRU检查、1例行输尿管逆行造影检查;1例结石ESWL治疗,1例重复肾输尿管手术切除,5例结石予输尿管镜下气压弹道碎石.结果 7例患者术前均明确诊断;结石均成功碎除;术后随访1个月-2年.未见结石复发、患肾功能有不同程度改善.结论 不完全重复输尿管畸形合并结石的诊断可结合B超及IVP检查、上肾功能差时可行逆性造影或MRU检查;治疗应尽量选择微创并最大程度保护肾功能的方法.

    Abstract:

    Objectives To summarize the experience of the diagnosis and treatment of incomplete duplicate ureter associate with stone. Methods Collecting 7 cases with incomplete duplicate ureter associate with stone, all patients received B ultrasound and IVP check, one received MRU check,one received retrograde urography check; one case treated with ESWL, one received the resection of duplicate ureter and kidney, five cases treated with pneumatic lithotripsy under ureteroscopy. Results 7 cases was diagnosed clearly preoperation; the stone were removed successfully; all patients were followed-up from 1 month to 2years, there was no stone recurrence and the suffering renal function recovered in varying degree after operation. Conclusions The incomplete duplicate ureter malformation could be diagnosed by B ultrasound and IVP check, if the function of upper kidney was poor, MRU or retrograde urography could be taken; the treatment should choose the method with minimally invasive and maximun protection of the renal function.

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引用格式: 陈智新,蔡维山,杨柳平,胡建波,杨勇杰.不完全重复输尿管畸形合并结石7例报道[J].国际泌尿系统杂志,2010,(4).

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