先天性巨大输尿管积水的诊断与治疗(附六例报告)

Diagnosis and treatment of congenital giant megaureter(report of 6 cases)

目的 提高先天性巨大输尿管积水的诊治水平。 方法 对 6例病例资料进行回顾性总结并从胚胎学、诊断及治疗方法方面进行探讨。 结果 6例病人均有输尿管极度迂曲、扩张 ,并伴有肾发育不全 ,采用患侧肾、输尿管全切除术取得良好效果。 结论 结合病史、查体及B超、CT及IVU检查可确定诊断 。

Objective To present and evaluate the diagnosis and treatment of congenital giant megaureter. Methods From 1992 to 1999, 6 cases of congenital giant megaureter were diagnosis and treated, the pathogenesis, diagnosis and treatment of congenital giant megaureter were discussed. Results Resection of the kidney and ureter were carried out in all the 6 with satisfaction. Conclusions The diagnosis may be confirmed on B ultrasonography, CT, or intravenous urography. Nephroureterectomy is the principal method of treatment for congenital giant megaureter.