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患者,男,28岁。因左腰胀痛1个月入院。查体:双脊肋区即痛;B超示左肾重度积水,右肾中度积水;腹部平片未见异常,静脉尿路造影示右肾积水,输尿管于第4腰椎平面狭窄,左肾显影不清;逆行尿路造影示左输尿管于第5腰椎平面狭窄,造影剂呈梅花辨样散在。初诊为先天性输尿管狭窄。经腹两侧同期手术,术中见双输尿管内在性狭窄,狭窄段0.4cm长,切除之,见腔内梅花辨样横行皱褶。行双输尿管端端吻合,输尿管放支架引流管,3周后拔除。3个月后复查,B超示双肾积水减轻,静脉尿路造影示双肾显影,输尿管通畅。病理报告:双输尿管辨膜症。
Patient, male, 28 years old. Left lumbar pain due to hospitalization for 1 month. Examination: double rib cage pain; B ultrasound showed severe hydronephrosis of the left kidney, right kidney moderate hydrocephalus; abdominal plain film showed no abnormalities, intravenous urography showed right hydronephrosis, ureter in the 4th lumbar plane narrow, Left renal development is not clear; retrograde urography showed left ureter in the 5th lumbar plane stenosis, contrast agent was plum-like scattered. First diagnosis of congenital ureteral stricture. Transabdominal surgery on both sides of the same period, intraoperative see ureteral intrinsic stenosis, 0.4cm long stenosis, resection, see the plum-like pattern horizontal row folds. Line ureter end anastomosis, ureteral stent drainage tube, 3 weeks after the removal. 3 months after the review, B ultrasound showed reduction of hydronephrosis, intravenous urography showed renal development, ureteral patency. Pathology report: double ureteral resolution disease.