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患者女性,12岁,持续少量遗尿12年,自幼尿布常湿,能够正常排尿。随患儿生长,症状渐重。查体:发育正常,血压正常,会阴部见大片尿疹(斑丘疹)。 影像学检查:B超观察左肾缺如,X线腹部平片显示左肾影缺如。大剂量静脉肾盂造影,右侧肾盂、肖盏、输尿管及膀胱形态未见异常,左肾未显影,于脊柱左旁腰5～骶1椎体横突间隐约见一扭曲之输尿管影,与膀胱关系不明确。膀胱镜下见右输尿管开口正常,未见左输尿管开口及异位开口。逆行造
Female patient, 12 years old, continued a small amount of enuresis for 12 years, often wet diapers since childhood, to normal urination. With the growth of children, the symptoms gradually. Physical examination: normal development, normal blood pressure, perineal see large diaper rash (rash). Imaging examination: B-observed left kidney missing, X-ray abdominal plain film showed left kidney shadow is missing. Large doses of intravenous pyelography, right renal pelvis, Xiaozhan, ureter and bladder morphology were normal, the left kidney was not developed in the left lumbar vertebra 5 ~ sacral vertebral transverse process between a vague impression of a distorted ureter shadow, and the bladder The relationship is not clear. Cystoscopy see the right ureter opening normal, no left ureter and ectopic opening. Made retrograde