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巨大性肾积水病人20例,男9例,女11例。年龄23～70岁,平均46岁,其中25～30岁13例。术前肾功能检测发现血尿素氮和肌酐升高2例;肾图示梗阻相肾损害17例;B超示22例侧积水;19例行IVP检查6～60min内不同程度显影者13例,60min以上不显影6例。病因为尿石症10例,成人巨输尿管症4例,直肠癌术后内瘘及转移2例,肾盂-输尿管连接处梗阻3例,后腹膜纤维化输尿管异位连接1例。手术行肾切除11例,清除结石行肾盂-输尿管支架管引流术4例,切除病灶行输尿管-膀胱吻合支架管引流术2例,术后输尿管
20 cases of giant hydronephrosis, 9 males and 11 females. Aged 23 to 70 years old, with an average of 46 years old, of which 25 to 30 years old in 13 cases. Preoperative renal function test found that blood urea nitrogen and creatinine increased in 2 cases; renal diagram obstructive kidney damage in 17 cases; B ultrasound showed lateral water in 22 cases; 19 cases of IVP examination within 6 ~ 60min were significantly different in 13 cases , Not more than 60min in 6 cases. The causes of urolithiasis in 10 cases, 4 cases of adult giant ureter, 2 cases of postoperative fistula and metastasis of rectal cancer, renal pelvis - ureter junction obstruction in 3 cases, retroperitoneal fibrosis ureter ectopic connection in 1 case. Surgical nephrectomy in 11 cases, clear stones line renal pelvis - ureteral stent drainage in 4 cases, removal of lesions line ureter - bladder anastomosis stent drainage in 2 cases, postoperative ureter