摘要
目的 探讨先天性单侧肾发育不良合并输尿管异位开口的临床特点和诊治方法。方法 总结分析 12例肾发育不良合并输尿管异位开口的临床资料。结果 12例肾发育不良均为女性 ,左侧 7例 ,右侧 5例 ,主要临床表现为点滴性尿失禁 ,静脉尿路造影患肾均不显影 ,对侧肾显示代偿性肥大 ,B超探查 8例未探及肾脏 ,仅 4例在盆腔探及发育不良肾组织 ,其中 4例接受CT扫描 ,2例提示盆腔有发育不良肾。 12例均接受了发育不良肾及输尿管切除 ,术中见肾脏体积小、形态及位置异常 ,术后“尿失禁”症状立即消失。结论 先天性肾发育不良女孩多见 ,常伴有输尿管开口异位 ,主要表现为点滴性尿失禁 ,B超多不能探及患肾 ,静脉尿路造影患肾均不显影而对侧肾肥大 ,易误诊为孤立肾。
Objective To study the clinical features, diagnosis and treatment of congenital renal dysplasia associated with ectopic ureter. Methods Clinical records of 12 female patients were analyzed. Results Seven renal dysplasia were on the left side and 5 on the right. The main presentation was urine dribbling. IVP showed absence of kidney on one side and compensatory hypertrophy on the opposite side. In 4 patients, the dysplastic renal tissue was shown in the pelvic cavity by ultrasonography. For the remaining 4 patients, 2 had dysplastic kidneys demonstrated on CT scan. All patients underwent uretero nephrectomy. Urinary incontinence disappeared post operatively. Conclusions Congenital renal dysplasia mainly affects girls. Patients often present with urinary incontinence. Ultrasound and IVP often fail to reveal the dysplastic kidney. The treatment is ureteronephrectomy.
出处
《中华小儿外科杂志》
CSCD
北大核心
2002年第6期491-492,共2页
Chinese Journal of Pediatric Surgery
