7例先天性巨输尿管的X线诊断

先天性巨输尿管是以输尿管末端功能性狭窄并近段扩张为特征的先天畸形，临床少见。本文收集7例，均经泌尿系造影检查并手术证实，其中5例合并其他畸形。结合文献报告如下。     

盆腔脂肪增多症1例

1 病历摘要 患者，男，38岁，主因“体检行B超检查发现双肾积水，双输尿管扩张”入院。追问病史，有尿频、夜尿增多10余年。查体：BP130／85mmHg，下腹略膨隆，双肾区无叩痛。耻骨上区饱满，无压痛。肛诊发现前列腺位置抬高，未能触及。ⅣU检查示：两侧肾小盏杯口变钝，双侧输尿管扩张迂曲，均以右侧为甚；膀胱位置异常，位于小骨盆腔上方，     

1例原发性输尿管癌病人围术期的护理

原发性输尿管癌是临床少见的尿路上皮恶性肿瘤，且早期诊断困难。治疗一般采取肾输尿管全程切除 膀胱袖式切除术。我院收治了1例原发性输尿管癌病人且并发糖尿病、冠心病等多种慢性病，行左输尿管中下段切除 回肠代输尿管术一现将护理体会介绍如下。     

多镜联合在胆胰管疾病治疗中的应用进展

腹腔镜、胆道镜、十二指肠镜是治疗胆胰管疾病的三种最重要的微创手段,但其中任何一种方法单用时都有其局限性和不足之处,而且由于胆胰管疾病的复杂性,单靠一种方法往往很难达到彻底治疗的目的.因此,近年来许多学者对运用多镜联合治疗胆胰管疾病进行了探索,并取得了良好的效果,本文就此方面的进展做一概述.     

软脉灵治疗脑血管病偏瘫33例临床疗效分析

急性脑血管病又称脑血管意外或中风,其所致偏瘫后遗症给患者带来很大痛苦,对家庭和社会也是沉重的负担.我们应用软脉灵治疗急性脑血管病引起的偏瘫33例,取得较好疗效,现报告如下.     

关节镜治疗类风湿关节炎89例临床观察

类风湿关节炎是一种以慢性进行性关节病变为主的自身免疫性疾病。为对称性的多关节炎．以双手、腕、肘、膝、踝和足关节受累最常见。我院从2003年10月开始运用膝关节镜对89例类风湿关节炎进行滑膜清理术，现报告如下。     

膀胱镜下行膀胱内血凝块清除24例

2000年以来，我院在膀胱镜下行膀胱内血凝块清除24例，方法简便，效果满意，现报告如下。     

应用输尿管镜放置双J管早期治疗输尿管阴道瘘

Objective To evaluate the clinical effect of placing double J stent using a ureteroscope in early managing ureterovaginal fistula.Methods Twenty-eight patients cases with ureterovaginal fistula from 2002 to 2008 were treated early with placing double J stent using a ureteroscope and the clinical data were reviewed.Results Twenty-two of 28 cases were treated and double J stent was placed in them by a uretero-scope and 75% (21/28)of cases were cured.Four of 21 cases were treated twice by a ureteroscope and were cured finally.7 cases with failure ureterovaginal treatment underwent ureterocystostomy and were cured.The follow-up from 6 months to 33 months (average 10.1±6.4 months)showed that all of the 28 cases had been cured and had no urinary fistula.Conclusion Placing double J stent using a ureteroscope is the first choice of operative procedure for the early treatment of ureterovaginal fistula.