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临床资料例1男,54岁。因腰背痛1年,B超检查示双肾盂及输尿管扩张于1996年9月25日收入院。查体:腹软,脐周有压痛,未及肿块。实验室检查:血、尿、粪常规正常,血肌酐335.92μmol/L,尿素氮10.2mmol/L。胸部X线片示右侧肺炎。B超示肝囊肿,双肾积水,中腹部可探及7.1cm×2.8cm中低回声区。经静脉尿路造影(IVU)显示双肾显影减慢,双肾盂积水,双输尿管未显影。逆行造影显示第3～5腰椎水平双侧输尿管狭窄,双肾盂积水。以双输尿管梗阻原因待查行剖腹探查术,
Clinical data example 1 male, 54 years old. 1 year due to low back pain, B-ultrasound showed double renal pelvis and ureter dilatation in September 25, 1996 income hospital. Examination: abdominal soft, umbilical weeks have tenderness, and mass. Laboratory tests: blood, urine, normal feces, serum creatinine 335.92μmol / L, urea nitrogen 10.2mmol / L. Chest X-ray showed right pneumonia. B ultrasound showed liver cysts, hydronephrosis, mid-abdomen can explore and 7.1cm × 2.8cm in the hypoechoic area. Intravenous urography (IVU) showed delayed renal development, hydronephrosis, double ureter undeveloped. Retrograde angiography showed that the 3rd to 5th lumbar level bilateral ureteral stricture, double hydronephrosis. To double ureteral obstruction to be investigated due to laparotomy,