顺行球囊扩张治疗输尿管-肠代原位新膀胱吻合口狭窄1例
摘要
临床资料患者,男,66岁,因“右侧腰部胀痛5d”入院。既往因左侧肾盂癌、膀胱癌,行左肾输尿管切除、膀胱袖套式切除术。因膀胱癌复发,行根治性膀胱全切、去带乙状结肠原位新膀胱术。体格检查:右肾压痛(+)及叩痛(+),余无阳性体征。实验室检查:尿素10.1mmol/L,肌酐553μmol/L。影像学检查:超声示右肾盂积液,右侧输尿管起始部扩张,拟行逆行肾盂造影,未找到输尿管一肠代原位新膀胱吻合口,经皮肾穿刺肾盂输尿管顺行造影示右侧输尿管下端狭窄。术前诊断:右侧输尿管狭窄,右肾盂积液,肾功能不全。
出处
《中华腔镜泌尿外科杂志(电子版)》
2014年第4期63-64,共2页
Chinese Journal of Endourology(Electronic Edition)
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