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输尿管异位开口是泌尿系先天性畸形,常合并肛门、生殖系及其他多种畸形。由于诊断技术的不断提高,近来报道的数目逐渐增多。我院自1963年5月至1979年5月共收治14例,全部手术治疗,除1例合并膀胱括约肌松弛者外效果均佳。现报告如下。临床资料性别和年龄:14例均为女性;年龄最小者2岁,最大者25岁,12岁以上者占8例。开口位置:尿道外口旁6例,阴道4例,前庭2例,膀胱颈者1例,不明1例。仅1例由异位开口插入一细导管逆行造影成功。就诊原因:除开口于膀胱颈的1例合并左输尿管囊肿,由尿道突出嵌顿,引起排尿困难外,其余均因在正常排尿之间伴有滴漓性尿失禁、阴部尿性湿疹而就诊。
Ectopic ureter open urinary tract congenital malformations, often associated with anal, reproductive and other multiple deformities. As the number of diagnostic techniques continues to increase, the number reported recently has been increasing. In our hospital from May 1963 to May 1979, a total of 14 cases were treated, all the surgical treatment, in addition to 1 case of bladder sphincter relaxation were good results. The report is as follows. Clinical data of gender and age: 14 cases were female; the youngest 2 years old, the largest 25-year-old, 12-year-old accounted for 8 cases. Location of openings: 6 cases of urethral orifice, 4 cases of vagina, 2 cases of vestibule, 1 case of bladder neck, 1 case unknown. Only 1 case of ectopic insertion of a thin catheter retrograde angiography success. Reasons for visit: In addition to the opening of the bladder neck in 1 case of left ureteral cyst, incarcerated by the urethra, causing dysuria, the rest are due to the normal urinary incontinence accompanied by dripping urinary incontinence, genital urinary eczema and treatment.