| 重复肾的诊断和外科处理(附53例报告) |
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| 引用本文： | 方丹波,蔡松良.重复肾的诊断和外科处理(附53例报告)[J].临床泌尿外科杂志,2002,17(12):672-673. |
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| 作者姓名： | 方丹波 蔡松良 |
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| 作者单位： | 浙江大学医学院附属第一医院泌尿外科,杭州,310003 |
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| 摘 要： | 目的：探讨重复肾输尿管畸形的诊断与处理，方法：回顾性分析53例重复肾患者的临床资料，B超检查51例，41例确诊，7例误诊为肾上极囊肿，5例漏诊，45例行手术治疗，结果：45例重复肾患者经手术治疗，临床症状消失，尿常规无异常，病理检查均报告为重复肾，结论：B超诊断价值大，手术方式的选择取决于患侧肾功能，尿路感染情况以及是否并发其他畸形。
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| 关 键 词： | 重复肾 诊断 外科治疗 B超 |
| 文章编号： | 1001-1420(2002)12-0672-02 |
| 修稿时间： | 2002年5月8日 |
Diagnosis and treatment of duplication of kidney and ureter (Report of 53 cases) |
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| FANG Danbo,CAI Songliang.Diagnosis and treatment of duplication of kidney and ureter (Report of 53 cases)[J].Journal of Clinical Urology,2002,17(12):672-673. |
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| Authors: | FANG Danbo CAI Songliang |
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| Institution: | FANG Danbo 1 CAI Songliang 1 |
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| Abstract: | Purpose:To evaluate the diagnosis and treatment in duplex kidney.Methods:53 cases of duplication of kidney and ureter were reported.Results:Single side abnormality noted in 50 cases and two side abnormalities noted in 3 cases, ectopic opening of ureter in 6 cases, ureterocele in 11 cases, moderate or severe hydronephrosis of the upper kidney in thirty cases. The diagnosistic value of symptoms, IVU, ultrosonography and CT , MRU was revealed respectively. Conclusions:Ultrasonography played the most important role in the diagnosis. Surgical management should be individualized. Usually, upper nephroureterectomy is performed for a nonfunctioning moiety. Ureteric replantation can be considered for functioning segment. |
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| Keywords: | Duplex kidney Diagnosis Treatment |
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