重复肾的诊断和外科处理(附53例报告)

Diagnosis and treatment of duplication of kidney and ureter (Report of 53 cases)

目的 :探讨重复肾输尿管畸形的诊断与处理。方法 :回顾性分析 5 3例重复肾患者的临床资料 ,B超检查 5 1例 ,41例确诊 ,7例误诊为肾上极囊肿 ,5例漏诊。 45例行手术治疗。结果 :45例重复肾患者经手术治疗 ,临床症状消失 ,尿常规无异常 ,病理检查均报告为重复肾。结论 :B超诊断价值大 ;手术方式的选择取决于患侧肾功能。

Purpose:To evaluate the diagnosis and treatment in duplex kidney.Methods:53 cases of duplication of kidney and ureter were reported.Results:Single side abnormality noted in 50 cases and two side abnormalities noted in 3 cases, ectopic opening of ureter in 6 cases, ureterocele in 11 cases, moderate or severe hydronephrosis of the upper kidney in thirty cases. The diagnosistic value of symptoms, IVU, ultrosonography and CT , MRU was revealed respectively. Conclusions:Ultrasonography played the most important role in the diagnosis. Surgical management should be individualized. Usually, upper nephroureterectomy is performed for a nonfunctioning moiety. Ureteric replantation can be considered for functioning segment.