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我院自1991年1月至1997年12月,收治肾积水病人227例,现报告如下。 1 临床资料 本组227例,男154例,女73例,年龄2岁～83岁,平均年龄39.55岁,14岁以前20例。病史3个月～25年,可表现有肾区不适、腰痛、肾区饱满或包块。部分病人以体检发现肾积水开始就诊。检查方法包括B超、静脉肾盂造影、肾穿刺造影、肾图、逆行肾盂造影等。 2 治疗 根据肾积水的发病原因和积水程度采取相应的手术治疗方法。巨大肾积水根据对侧肾功能情况以肾切除为主,切肾率为93.33％。重度肾积水根据患肾萎缩及功能情况采用肾切除、肾成形、肾穿引流进而二期肾盂成形术等,切除率为74.11％。中度
Our hospital from January 1991 to December 1997, admitted to patients with hydronephrosis 227 cases, are as follows. 1 Clinical data 227 cases of this group, 154 were male and 73 females, aged 2 to 83 years, mean age 39.55 years old, 20 cases before the age of 14. History of 3 months to 25 years, may show kidney discomfort, low back pain, kidney full or mass. Some patients found that hydronephrosis medical examination. Inspection methods include B ultrasound, intravenous pyelography, renal puncture angiography, renal map, retrograde pyelography and so on. 2 treatment according to the incidence of hydronephrosis and hydrocephalus to take the appropriate surgical treatment. Large hydronephrosis according to the contralateral renal function to the nephrectomy, the rate of 93.33%. Severe hydronephrosis according to renal atrophy and functional conditions using nephrectomy, renal forming, renal drainage and then two pyeloplasty, resection rate was 74.11%. Moderate