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输尿管梗阻并肾积水,在泌尿科临床上是很常见的。我们对B超提示肾积水,但静脉肾盂造影(IVP)不显影,而逆行输尿管插管受阻者,常规在B超介导下行肾盂穿刺,造影和引流,效果满意,报告如下。资料与方法本组31例,其中男23例,女7例。年龄12-63岁,平均37.5岁。临床表现:单纯肾区胀痛24例、肾区胀痛伴发热2例、腹部肿块5例。双侧肾积水6例,单侧肾积水25例。IVP时30分钟不显影22例,60-120分钟延缓造影,不显影或显影不满意9例。逆行造影导管在输尿管各段受阻,难于置入肾盂(CT难于判定梗阻部位)27例。病人不愿接受逆行造影而直接行肾穿刺造影4例。
Ureteral obstruction and hydronephrosis are clinically common in urology. We suggest hydronephrosis of the B-ultrasound, but intravenous pyelography (IVP) is not developed, and retrograde ureter intubation was blocked routinely in the B-mediated renal pelvis puncture, angiography and drainage, the results are satisfactory, the report is as follows. Materials and Methods The group of 31 cases, 23 males and 7 females. Aged 12-63 years old, average 37.5 years old. Clinical manifestations: 24 cases of simple kidney pain area, kidney pain and fever in 2 cases, 5 cases of abdominal mass. 6 cases of bilateral hydronephrosis, 25 cases of unilateral hydronephrosis. 22 cases of IVP without imaging for 30 minutes, 60-120 minutes of delayed imaging, no imaging or 9 cases of unsatisfactory imaging. Retrograde contrast catheter obstruction in the ureter, difficult to put renal pelvis (CT difficult to determine the site of obstruction) 27 cases. Patients do not want to accept retrograde angiography and direct renal puncture 4 cases.