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报告重复肾、重复输尿管畸形22例,其中输尿管完全重复12例,不完全重复10例。19例行手术治疗。其中行重复肾切除3例,上位肾切除5例,下位肾切除1例,输尿管、膀胱再植术5例,上、下肾输尿管Y型扩大吻合3例,上位肾盂与下位肾盂端侧吻合2例。本文对诊断及治疗进行讨论,认为排泄性尿路造影是诊断本病的主要方法,膀胱镜检查及逆行性尿路造影对本病的诊断具有重要意义,对合并梗阻、结石及输尿管异位开口等病变者应行手术治疗,重复肾切除者应尽可能低位切除输尿管。
The report repeated renal, repeated ureteral deformity in 22 cases, of which 12 cases of complete ureter repeat, incomplete repeat in 10 cases. 19 cases of surgical treatment. Among them, 3 cases of repeat nephrectomy, 5 cases of upper nephrectomy, 1 case of lower nephrectomy, 5 cases of ureter and bladder replantation, 3 cases of upper and lower kidney ureter enlargement and anastomosis, upper renal pelvis and inferior pelvis anastomosis 2 example. This article discusses the diagnosis and treatment, that excretion urography is the main method of diagnosis of the disease, cystoscopy and retrograde urography is of great significance in the diagnosis of the disease, the combined obstruction, stones and ureteral ectopic opening Other lesions should be treated surgically, repeat nephrectomy should be as low as possible removal of the ureter.