单输尿管异位开口(附19例报告)

Single ectopic ureter(report of 19 cases)

目的 探讨输尿管异位开口的部位与其引流肾脏发育程度的关系 ,提高单输尿管异位开口的认识及诊治水平。 方法 回顾性分析 19例单输尿管异位开口患者的临床表现、辅助检查及治疗情况 ,比较不同开口部位输尿管引流肾脏大小之间的差异。 结果 联合应用超声及IVU检查 ,异位输尿管引流发育不良肾脏的发现率为 6 8% (13/19) ,输尿管异位开口位置与肾脏发育程度无相关性 (P >0 .0 5 )。所有患者均一次手术治愈。 结论 单输尿管异位开口的位置与肾脏发育程度无关 ,手术治疗效果良好。

Objective To elucidate the entity of single ectopic ureter and improve efficacy of its clinical treatment and to explore the correlation between the site of the ectopic orifice and the degree of the dysplastic kidney it drains. Methods The clinical data of 19 cases with single ectopic ureter were closely studied.And the correlation between the site of the ectopic orifice and the size of the kidney was analyzed. Results Thirteen of the 19 dysplastic kidneys were detected by combined use of ultrasound and IVU.The site of the ectopic orifice had no correlation with the degree of the dysplastic kidney.All patients were cured by means of one procedure. Conclusions The epidemiology and clinical features of single ectopic ureter have racial and regional differences.Appropriate intervention can obtain an excellent outcome.