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目的:探索诊断与治疗先天性重复肾盂、输尿管畸形合并结石的理想方法。方法:回顾性分析32例先天性重复肾盂、输尿管畸形合并结石病人的临床资料。结果:影像学对该病的确诊率:静脉肾盂造影(IVP)31例(占97%),B超26例(81%),CT81%(21/26),磁共振100%(15/15)。12例仅行肾盂切开取石术者结石复发6例,同时作肾盂整形术6例未见结石复发,3例行输尿管膀胱再吻合术者均痊愈。结论:IVP结合B超检查可作为诊断该病的常规方法,磁共振对诊断该病准确率高,宜作进一步检查。当重复肾无功能时,宜作重复肾、输尿管切除术。行重复下组肾盂切开取石术时应同时作肾盂整形术,输尿管口囊肿内结石应作膀胱输尿管吻合术。
Objective: To explore the diagnosis and treatment of congenital duplication of renal pelvis, ureteral malformations associated with the ideal stone. Methods: A retrospective analysis of 32 cases of congenital duplication of renal pelvis, ureteral calculi associated with clinical data. Results: Imaging diagnosis of the disease: 31 cases of intravenous pyelography (97%), B ultrasound in 26 cases (81%), CT81% (21/26), MRI 100% (15/15 ). Of the 12 cases who underwent pyelolithotomy alone, 6 cases had stone recurrence and 6 cases had renal pelvic plastic surgery without recurrence of stones, and 3 cases underwent ureterovascular re-anastomosis. Conclusion: IVP combined with B-ultrasound can be used as a routine method to diagnose the disease. Magnetic resonance imaging is more accurate in diagnosing the disease and should be further examined. When repeated renal dysfunction, should be repeated kidney and ureter resection. Repeat the next group of pelvis incision lithotomy should be made simultaneously for pelvis plastic surgery, ureteral bursitis in the cyst should be made for bladder ureter anastomosis.