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目的:报告5例积水无功能肾切除术后输尿管残端综合征患者的诊治经过,探讨其治疗选择,为罕见病例的治疗提供借鉴和指导。方法:汇总分析5例积水无功能肾切除术后输尿管残端综合征患者的临床资料及诊治经过,查阅文献进行分析讨沦。结果:结合病史、体检及辅助检查结果,诊断输尿管残端综合征,行手术侧残端输尿管全程切除术,术后随访6-18月患者疗效满意。结论:积水无功能肾切除术前需充分评估输尿管情况,尽量彻底切除输尿管。切除残余输尿管是治疗输尿管残端综合征的有效方法。
Objective: To report the diagnosis and treatment of ureteral stump syndrome in 5 cases of non-functional nephrectomy with hydrops and to explore the treatment options for the treatment of rare cases. Methods: The clinical data, diagnosis and treatment of 5 cases of ureter stump syndrome after nephrectomy without hydropic function were collected and analyzed. Results: Combined with medical history, physical examination and auxiliary examination results, the ureter stump syndrome was diagnosed and the complete removal of ureter was performed on the surgical side. The patients were followed up for 6 to 18 months with satisfactory results. Conclusion: Nephrectomy without functional nephrectomy should be fully evaluated ureteral conditions, as far as possible complete removal of the ureter. Removal of residual ureter is an effective method of treatment of ureteral stump syndrome.