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非特异性肾盂输尿管炎症致肾积水、严重血尿的临床诊治分析
引用本文:杨运运,;廖继强,;吴建军,;梁振清,;徐计秀,;王璟琦.非特异性肾盂输尿管炎症致肾积水、严重血尿的临床诊治分析[J].中国现代医生,2014(25):98-100.
作者姓名:杨运运  ;廖继强  ;吴建军  ;梁振清  ;徐计秀  ;王璟琦
作者单位:[1]大同煤矿集团公司总医院泌尿外科,山西大同037003; [2]山西医科大学第一附属医院泌尿外科,山西太原030001
摘    要:目的:讨论非特异性输尿管炎的诊治。方法通过对本院1例考虑左肾盂区占位的、出现特殊症状的非特异性输尿管炎患者诊治回顾,同时查阅文献,讨论非特异输尿管炎的有效诊断及治疗。结果术中未行左肾输尿管切除术,仅剥离、切除包裹肾盂、输尿管的巧克力样物质。结论临床上有腰背部疼痛、肉眼血尿病史患者,影像学检查发现肾盂积水、肾盂及输尿管管壁增厚、不规则、或串珠样改变、输尿管蠕动不良时,应仔细与自发性肾周围出血、输尿管癌鉴别,若通过相关检验、影像学检查及细胞学检查未能确诊者,可行患侧肾盂输尿管探查术,切忌盲目行肾输尿管切除术。

关 键 词:非特异性输尿管炎  手术探查

Non-specific inflammation of ureteropelvic causes kidney seeper,severe blood in the urine analysis of the clinical diagnosis and therapy
Institution:YANG Yunyun,LIAO Jiqiang,WU Jianjun,LIANG Zhenqing,XU Jixiu,WANG Jingqi (1.Department of Urology, General Hospital of Datong Coal Mine Group Co. ltd, Datong 037003, China; 2.Department of Urology, the First Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China)
Abstract:Objective To discuss the diagnosis and treatment of non-specific ureteritis. Methods Considered by the Court left pelvis area occupying one case, and there are special non-specific symptoms in patients with treatment ureteritis recalled while literature and discuss the effective non-specific ureteritis diagnosis and treatment. Results Surgery did not undergo resection of the left kidney ureter, only stripping, removal of parcels renal pelvis, ureter choco-late-like substance. Conclusion Patients with a lower back pain, clinical history of macroscopic haematuria, imag-ingstudies revealed hydronephrosis, renal pelvis and ureter wall thickening, irregular, or beaded change, ureteral peri-stalsis is poor, should be carefully and spontaneous perirenal hemorrhage, ureteral cancer identification, If by related tests, imaging examination and cytological examination failed to diagnose patients, feasible with bilateral renal pelvis ureter surgical exploration, avoid blindly kidney ureteral resection.
Keywords:Non-specific ureteritis  Surgical exploration
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