重复肾双输尿管畸形的手术治疗  

Surgical treatment for patients with duplication of kidney and ureter

作　　者：彭世波[1] 曾甫清[1] 汪良[1] 张士龙[1] 李恒[1] 鞠文[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430022

出　　处：《临床泌尿外科杂志》2007年第1期8-10,共3页Journal of Clinical Urology

摘　　要：目的:探讨重复肾双输尿管畸形的手术治疗效果。方法:报告22例重复肾患者的临床资料,均经影像学检查诊断,完全性重复肾15例,不完全性重复肾7例。均给相应的手术方法治疗,共手术24次。结果:术后22例患者均康复出院。12例患者在拔除术中放置的双J管前,行B超或KUB加IVP检查,提示肾积水情况较前改善,未发现结石影及其它病变。17例获随访的患者都没有因原患的重复肾疾病而引起不适。结论:手术治疗应个体化,视肾功能、并发何种尿路畸形、病变的解剖位置,以及严重程度和尿路感染情况选择,包括对重复肾本身及并发症的处理。Objective：To summary and explore the experience of surgical treatment of duplex kidney. Methods： The clinical data and corresponding surgical mode of 29 patients with duplication of kidney and ureter were retrospectively analyzed. Results：Totally 24 oeprations were performed, with 22 patients cured. Of which, 12 cases were examed with B-ultrasound, plain film of kidney-ureter-bladder and intravenous pyelography before removing the double ＂J＂ catheters. The results show that not only degree of hydronephrosis was relieved but also urolithiasis and other affections have disappered. Conclusions： Individualized treatment should he managed in view of the function of kidney ,combining what kind of deformity, anatomical position and degree of pathological changes and infection status of urinary tract.

关 键 词：肾输尿管畸形 诊断显像 外科手术 泌尿系 

分 类 号：R692.12[医药卫生—泌尿科学]