重复肾25例诊治分析

目的总结重复肾诊疗体会。方法回顾我院25例重复肾患者的临床资料,统计分析诊治效果。25例患者均行泌尿系超声检查及排泄性尿路造影(IVU)检查,5例因IVU显影差行泌尿系增强CT检查,所有病例均为单侧发病,重度肾积水17例,轻度肾积水8例。结果 17例重度肾积水病例均行手术治疗,1例轻度肾积水病例行手术治疗。随访1年,所有手术病例均未见肾积水复发;7例轻度未手术病例,积水未见明显加重。结论重复肾的诊断主要是泌尿系超声检查及IVU检查和CT检查,重复肾并发轻度肾积水无症状可观察随访,重复肾并发轻度肾积水有症状及重度肾积水者应行手术治疗。

Diagnosis and Treatment of 25 Cases of Renal Duplication

Objective To investigate the diagnosis and treatment of renal duplication. Methods The clinical data of 25 patients with renal duplication were reviewed Urinary system ultrasonic and intravenous urogram（IVU）examinations were performed in all of the 25 cases. There were 5 cases had urinary system enhancement CT because of IVU underdeveloped. All of the cases were unilateral lesions, there were 17 sever cases and 8 mild cases. Result All of the 17 sever hydronephrosis cases had surgical operations, 1 male eases had surgical operation,followed up for lyear shows there was no recurrence in all the surgery cases, there was no aggravating case in all the 7 mild cases without operation. Conclusion The daignosis of renal duplication depends on Urinary system ultrasonic, IVU and enhancement CT, the patient of renal duplication complicated with mild hydronephrosis can be observed and followed-up, but the serious hydronephrosis should be treated by surgical operations.