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患者,女性,52岁,因“体检发现右肾积水15d”入院。入院时自觉右侧腰背部酸胀,伴尿频、尿急,无肉眼血尿。既往体健,否认结核病史,否认盆腔手术史。适龄婚配,月经13(4-5/28-30)50,周期、经量均正常,无痛经。B超:右肾中度积水,右侧输尿管上段轻度扩张。入院行静脉尿路造影(IVU),逆行肾盂造影及X-CT检查,均提示右输尿管中下段狭窄。入院诊断:右肾积水,右输尿管狭窄?右输尿管占位?术前充分准备后在全麻下手术探查。先行输尿管镜检查,进镜入右输尿管约8cm处见输尿管扭
Patients, women, 52 years old, because of “physical examination found right kidney water 15d ” admission. Consciously admitted to the right lower back soreness, with frequent urination, urgency, no gross hematuria. Past physical health, denied a history of tuberculosis, denied the history of pelvic surgery. Age-related marriage, menstruation 13 (4-5 / 28-30) 50, cycle, by volume are normal, no dysmenorrhea. B ultrasound: moderate hydronephrosis, the right upper ureteral dilatation slightly. Admission venous urography (IVU), retrograde pyelography and X-CT examination showed that the right lower ureter in the narrow. Admission diagnosis: Right hydronephrosis, right ureteral stricture? Right ureter occupying? Fully prepared before surgery under general anesthesia exploration. First ureteroscopy, into the right ureter into the ureter about 8cm see torsion