重复肾输尿管畸形12例诊治体会

发布时间：2018-05-17 04:16

本文选题：泌尿生殖系畸形 + 输尿管畸形　；参考：《实用医学杂志》2015年19期

【摘要】：目的:探讨重复肾输尿管畸形及合并症的临床诊治方法,提高临床少见病例的诊疗水平。方法:回顾性分析2011年7月至2014年9月我院收治的12例重复肾输尿管畸形患者临床资料、治疗策略及临床疗效,并做相关文献复习。结果:12例患者中重复肾输尿管畸形合并尿路结石根据结石位置、大小等因素分别行体外冲击波碎石术(1例)、输尿管镜碎石术(4例)、微通道经皮肾镜碎石术(2例)、逆行输尿管软镜碎石术(1例),以上腔内治疗均联合钬激光碎石;合并UPJ狭窄梗阻行肾盂输尿管吻合术(1例);合并输尿管末端囊肿行经尿道腔镜下囊肿内切开术(2例);合并单纯泌尿系感染给予抗炎对症治疗(1例),所有方案疗效确切,术中、术后无严重并发症,患者满意度高。结论:重复肾输尿管畸形是常见的泌尿系统先天性畸形,临床上相对少见,其诊治方法根据临床症状及合并症强调个体化策略,腔内泌尿外科技术安全、有效、并发症少,值得临床推广。
[Abstract]:Objective: to explore the clinical diagnosis and treatment of repeated renal and ureteral malformations and complications, and to improve the diagnosis and treatment of rare clinical cases. Methods: the clinical data, treatment strategy and clinical effect of 12 cases of duplicate renal and ureteral malformation from July 2011 to September 2014 in our hospital were analyzed retrospectively, and the related literatures were reviewed. Results among 12 patients, ureteral deformity combined with urinary calculi was based on the location of stones. One case was treated with extracorporeal shock wave lithotripsy, 4 cases with ureteroscopic lithotripsy, 2 cases with microchannel percutaneous nephrolithotripsy and 1 case with retrograde soft ureteroscopic lithotripsy. Ureteropelvic anastomosis was performed in 1 case with UPJ stricture obstruction, 2 cases with ureteral terminal cyst by transurethral endoscopy cystotomy, and 1 case with simple urinary tract infection by anti-inflammatory therapy. There was no serious complication after operation and the patient satisfaction was high. Conclusion: double kidney ureter malformation is a common congenital malformation of urinary system, which is relatively rare in clinic. According to clinical symptoms and complications, individual strategy is emphasized in the diagnosis and treatment of ureteral deformity. The technique of endovascular urology is safe, effective and has few complications. It is worth popularizing in clinic.
【作者单位】：中国人民解放军第五医院泌尿外科;中国人民解放军68612部队卫生队;
【分类号】：R691.1

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