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目的探讨小儿先天性单侧肾发育不良伴输尿管异位开口的临床特点、诊治方法。方法总结分析8例确诊为先天性单侧肾发育不良伴输尿管异位开口的临床资料。8例男女比例为1∶7;B超检查6例,仅1例诊断为肾发育不良;CT平扫+增强检查5例,确诊4例;MRI检查2例,均发现发育不良肾脏和输尿管异位开口的位置。结果 6例行患侧发育不良肾脏及输尿管全切除手术,1例行输尿管膀胱再植术,术后滴尿及泌尿系感染症状均消失。结论本症多数见于女性,且易被发现,B超多数不能探及患肾,静脉肾盂造影患肾多不显影,易误诊为孤立肾。手术切除无功能肾脏及输尿管疗效显著。
Objective To investigate the clinical features, diagnosis and treatment of congenital unilateral renal dysplasia in children with ureteral ectopic opening. Methods The clinical data of 8 cases diagnosed as congenital unilateral renal dysplasia with ureteropelvic opening were analyzed. 8 cases of male to female ratio of 1: 7; B ultrasound examination in 6 cases, only 1 case diagnosed as renal dysplasia; CT scan + enhanced examination in 5 cases, 4 cases diagnosed; MRI examination in 2 cases, both found dysplastic kidney and ureter Bit open position. Results Six cases of idiopathic dysplastic kidney and total ureter resection, one case of ureteral bladder replantation, postoperative urinary tract and urinary tract infection symptoms disappeared. Conclusion Most of the disease found in women, and easy to be found, the majority of B-probe can not detect and kidney, intravenous pyelography of kidney more than the shadow, easily misdiagnosed as isolated kidney. Surgical removal of non-functional renal and ureteral significant effect.