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患者,女,40岁。1981年开始,每逢月经期腹痛,不伴周期性血尿。曾在外院以“子宫内膜异位症”治疗。1989年5月因症状逐渐加重并发现肾积水入我院。体检:BP14.6/9.3kPa,P82次/分,心肺(-);右肾区压痛和叩击痛。尿上皮细胞((?))。IVP右肾显影缓慢;大剂量IVP示右肾积水,右输尿管显影不满意。膀胱镜检查:膀胱内无包块,双侧管口均无喷血。左侧喷尿正常;右侧喷尿缓慢。插管10cm逆行造影示右肾重度积水,右输尿管下段
Patient, female, 40 years old. Beginning in 1981, every menstrual period abdominal pain, not with periodic hematuria. Once outside the hospital to “endometriosis” treatment. May 1989 Gradual increase in symptoms and found hydronephrosis into our hospital. Physical examination: BP14.6 / 9.3kPa, P82 beats / min, cardiopulmonary (-); Right kidney area tenderness and percussion pain. Urine epithelial cells ((?)). IVP slow development of the right kidney; high-dose IVP showed right hydronephrosis, right ureter imaging is not satisfied. Cystoscopy: Bladder no mass, no spit on both sides of the nozzle. On the left side of normal urination; right side of urinary slowly. Intubation 10cm retrograde angiography showed severe hydronephrosis of the right kidney, lower right ureter