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重复肾、重复输尿管畸形是一种较少见的先天性疾病,常伴有输尿管异位开口,肾输尿管积水。我院1986年～1998年6月共收治18例,现就其诊治情况报告如下。 1 资料与方法 1.1 临床资料:本组18例,男2例,女16例。年龄6～42岁,平均16.5岁。正常的分次排尿同时有持续性滴尿者11例,肉眼血尿3例,腰部胀痛4例(伴肛门坠胀感1例),肾绞痛3例。利尿B超检查均为重复肾、重复输尿管畸形,其中左侧8例,右侧5例,双侧5例;表现为重复肾、重复输尿管或重复肾伴有不同程度积水和重复输尿管遇回扩张,其中12例输尿管异位开口的均发现输尿管遇回扩张并延至膀胱后(1例右下腹可见囊性包块),3例伴有输尿管结石。
Repeated renal, ureteral duplication is a rare congenital disease, often accompanied by ectopic ureter openings, renal ureteral hydronephrosis. Our hospital from 1986 to 1998 June were treated 18 cases, is now on the diagnosis and treatment of the following report. 1 Materials and Methods 1.1 Clinical data: The group of 18 patients, 2 males and 16 females. Aged 6 to 42 years old, average 16.5 years old. The normal sub-voiding urination at the same time there were 11 cases of persistent drop in the urine, 3 cases of gross hematuria, 4 cases of lumbar pain (with anus bulge feeling in 1 case), renal colic in 3 cases. Diuretic B-ultrasound were repeated renal duplication of ureteral malformations, of which 8 cases on the left, right in 5 cases, bilateral in 5 cases; manifested as duplication of kidney, repeated ureter or repeated renal accompanied by varying degrees of water and ureteral recurrence Dilation, of which 12 cases of ureteral ectopic ureter were found to open back and extended to the bladder after the extension (a right lower quadrant can be seen cystic mass), 3 cases with ureteral calculi.