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报告手术治疗小儿先天性输尿管异位开口 19例 ,右侧 13例 ,左侧 6例 ,经 B超诊断 17例 ,大剂量延迟排泄性尿路造影诊断 9例 ,结合 CT或 MRI检查诊断 7例。患侧重复肾、上肾段输尿管开口异位 14例 ,其中 13例行患侧上半肾切除术 ,1例行上下输尿管端侧吻合术 ;单侧单一肾输尿管开口异位 4例 ,均行肾切除术 ;双侧重复肾、单侧上段肾输尿管异位开口 1例行患侧上肾切除术。所有病例随访 7～ 11年效果均满意。 B超及大剂量延迟排泄性尿路造影有助于对该症的诊断 ,一经确诊 ,予手术治疗效果满意
Reported surgical treatment of pediatric congenital ureter ectopic opening in 19 cases, 13 cases of right and left in 6 cases, diagnosed by B ultrasound in 17 cases, high-dose delayed excretory urography in 9 cases diagnosed by CT or MRI examination diagnosed in 7 cases . 14 cases of ectopic ureter opening in the ipsilateral kidney were involved in this study. Among them, 13 cases were treated with upper nephrectomy and 1 case with ureteric anastomosis. Unilateral ureteric unilateral ureter was ectopic in 4 cases Nephrectomy; bilateral repeated kidney, unilateral upper ureteral ectopic opening 1 case of ipsilateral nephrectomy. All cases were followed up for 7 to 11 years the results are satisfactory. B ultrasound and large doses of delayed urinary excretion urography help diagnose the disease, once diagnosed, to the satisfaction of surgical treatment