小儿先天性巨输尿管症诊治1例并文献复习  

The diagnosis and treatment of the congenital megaureter in children and literature review

作　　者：张瑞[1] 萨音白刚[1] 吴希庆[1] 杨建新[1] 张博智[1] ZHANG Rui SAYIN Baigang WU Xi-qing YANG Jian-xin ZHANG Bo-zhi(the Third Worker Hospital of Baogang, Inner Mongolia, Baotou 014010, China)

机构地区：[1]内蒙古包钢集团第三职工医院泌尿外科,内蒙古包头014010

出　　处：《发育医学电子杂志》2016年第2期119-121,共3页Journal of Developmental Medicine (Electronic Version)

摘　　要：目的报道1例小儿先天性巨输尿管症的诊断及治疗体会并复习文献。方法根据临床症状及B超、泌尿系尿路水成像、肾核素扫描等影像学检查,对CM进行诊断;治疗方案为手术,手术方式为腹腔镜膀胱输尿管裁剪整复加Lich-Gregoir输尿管膀胱抗反流再植术。结果术后6个月复查,患者症状消失,患肾积水减轻,无膀胱输尿管反流。结论 CM的诊断主要依据临床症状及影像学检查,手术是治疗本病的有效方法。Objective To report the diagnosis and treatment of the congenital megaureter in children and literature review. Method The patient was diagnosised by clinical symptom and B-ultrasonund（B-US）, magnetic resonance urography（MRU）, renal dynamic imagingand,and administered by surgical intervention.The modus operandi was Lich-Gregoir ureteroneocystostomy following ureter tailoring. ResultsThe case was followed-up about six months.The result indicated that the clinic symptom disappeared and hydronephrosis and hydoroureter reduced, and it was not vesicoureteral reflux. Conclusions The diagnosis of the CM is based on symptom and imageology, surgery operation was effective in treatment of the CM.

关 键 词：先天性巨输尿管症 儿童 诊断 治疗 

分 类 号：R726.9[医药卫生—儿科]