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女,50岁,农民,三年前因头痛、恶寒、高烧、尿频、腰痛,一年后右肾区出现红、肿、热、痛的炎症肿块,经外院切开引流、抗炎治疗,变成慢性瘘管,久治不愈,于1985年8月14日入我院。入院时检查见右肾区有一个0.5×0.6cm的瘘管外口,血沉105mm,其余未见异常。入院后,肾脏、输尿管及膀胱X线平片检查,见右肾区有一个1.5×2cm的不透X线阴影。诊断:右肾结石。瘘管造影证实瘘管与右肾相通。静脉尿路造影报告:右肾不显影,左肾正常。逆行尿路造影:造影剂无法通过肾盂。术前诊断:右肾结核,合并结石及慢性瘘管(包括外院会诊意见)。
Female, 50 years old, farmer, three years ago due to headache, aversion to cold, high fever, frequent urination, back pain, a year after the right kidney area red, swollen, hot and painful inflammatory mass, Into a chronic fistula, long treatment, in August 14, 1985 into our hospital. Admission examination, see the right kidney area has a 0.5 × 0.6cm fistula outside the mouth, ESR 105mm, the rest without exception. After admission, kidney, ureter and bladder X-ray examination, see the right kidney area has a 1.5 × 2cm opaque X-ray shadow. Diagnosis: Right kidney stone. Fistula angiography confirmed the fistula and the right kidney interlinked. Intravenous urography reports: the right kidney is not developing, the left kidney is normal. Retrograde urography: Contrast media can not pass through the renal pelvis. Preoperative diagnosis: right renal tuberculosis, stones and chronic fistula (including the views of the outpatient consultation).