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目的 :探讨成人先天性巨输尿管症的诊治方法。方法 :报告 30例成人先天性巨输尿管症 ,其中左侧 18例 ,右侧 7例 ,双侧 5例。 30例中行肾输尿管切除术 2例 ;行输尿管膀胱吻合术 2 8例 ,其中先行肾造瘘术 ,二期行输尿管膀胱吻合术 5例。结果 :2 8例输尿管膀胱吻合术中 ,成功 2 6例 ,成功率 92 .9%。结论 :对静脉肾盂造影不显影的患肾应行同位素肾动态显像 ,以决定手术方案。治疗本症的原则是解除梗阻 ,尽量保留肾功能。理想的手术方式是输尿管裁剪加输尿管膀胱吻合术
Objective: To investigate the diagnosis and treatment of adult giant ureteral diseases. Methods: 30 cases of adult giant ureteral diseases were reported, including 18 cases on the left, 7 cases on the right and 5 cases on both sides. Among the 30 cases, 2 cases underwent nephroureterectomy and 28 cases underwent ureteric anastomosis, of which 5 cases received ureostomy and anastomosis in the second stage. Results: Of the 28 ureteral anastomoses, 26 cases were successful, with a success rate of 92.9%. Conclusion: Intravenous pyelography does not develop in patients with renal should be performed dynamic imaging of the kidney to determine the surgical options. The principle of treatment of this disease is to lift the obstruction, try to retain renal function. The ideal surgical approach is ureteral incision and ureteric anastomosis