成人先天性巨输尿管症30例报告

目的 :探讨成人先天性巨输尿管症的诊治方法。方法 :报告 30例成人先天性巨输尿管症 ,其中左侧 18例 ,右侧 7例 ,双侧 5例。 30例中行肾输尿管切除术 2例 ;行输尿管膀胱吻合术 2 8例 ,其中先行肾造瘘术 ,二期行输尿管膀胱吻合术 5例。结果 :2 8例输尿管膀胱吻合术中 ,成功 2 6例 ,成功率 92 .9%。结论 :对静脉肾盂造影不显影的患肾应行同位素肾动态显像 ,以决定手术方案。治疗本症的原则是解除梗阻 ,尽量保留肾功能。理想的手术方式是输尿管裁剪加输尿管膀胱吻合术

Congenital megaureter in adults (Report of 30 cases)

Purpose:To explore the methods of dignosis and treatment for the megaureter in adults. Methods: Thirty cases with megaureter in adults were presented. The anomaly was on left side in 18 cases, on the right side in 7 and bilateral in 5.2 of 30 cases were treated by total renoureterectomy, 28 cases by ureteric cystostomy, 5 in 28 cases by one stage with nephrostomy and then two stage with ureteric cystostomy.Results:26 of 28 cases with ureteric cystostomy were successful. The total success rate was 92.9 %.Conclusions: Nuclei renal dynamic scintigraphy is necessary to decide the pattern of sugery for the cases with no kidney function expressed by intravenous pyelograms. The principle of treatment for the disease is to relief obstruction and conserve the function of kidney. The most effective operative pattern is to clip dilated ureter and anastomose the ureter and cyst.