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中老年人输尿管梗阻导致肾积水的病因及诊断分析
引用本文:Qu X,Hou S,Wang X,Huang X,Xu K,Yang C. 中老年人输尿管梗阻导致肾积水的病因及诊断分析[J]. 中华外科杂志, 2000, 38(7): 531-533
作者姓名:Qu X  Hou S  Wang X  Huang X  Xu K  Yang C
作者单位:北京医科大学人民医院泌尿科(曲星珂!100044,侯树坤!100044,王晓峰!100044,黄晓波!100044,许克新!100044),山西省晋中地区第一人民医院泌尿科(杨成宇)
摘    要:目的 提高中老年人输尿管梗阻的病因诊断水平。 方法 回顾性分析了近 10年来收治的 141例中老年人肾积水的病因及诊断方法。 结果 在本组病例中 ,输尿管结石 5 9例 ,输尿管癌 5 1例 ;输尿管结核 11例 ;肾盂输尿管交界处狭窄 9例 ;输尿管囊肿 6例 ;输尿管息肉 5例。 结论 输尿管结石和肿瘤是导致中老年人输尿管梗阻的主要病因 ,对于这些病因的诊断 ,尤其伴有血尿的患者 ,B超应作为诊断及定期复查的首选检查手段。

关 键 词:输尿管梗阻 肾积水 病因 诊断 中老年人

Middle-aged and elderly patients with hydronephrosis induced by ureteric obstruction: etiology and diagnosis
Qu X,Hou S,Wang X,Huang X,Xu K,Yang C. Middle-aged and elderly patients with hydronephrosis induced by ureteric obstruction: etiology and diagnosis[J]. Chinese Journal of Surgery, 2000, 38(7): 531-533
Authors:Qu X  Hou S  Wang X  Huang X  Xu K  Yang C
Affiliation:Department of Urology, People's Hospital, Beijing Medical University, Beiging 100044, China.
Abstract:OBJECTIVE: To improve the etiologic diagnosis of middle-aged and elderly patients with ureteric obstruction. METHODS: The etiology and diagnosis were retrospectively studied in 141 middle-aged and elderly patients with hydronephrosis in recent 10 years. RESULT: 59 patients had ureterolithiasis, 51 ureteric cancer, 11 ureteric tuberculosis, 9 UPJ stricture, 6 uretero-cyst and 5 ureteric polyp. CONCLUSIONS: Ureterolithiasis and ureteric cancer contribute greatly to ureteric obstruction in middle-aged and elderly patients. Etiologically, B ultrasonography is suggested to be used as the first choice in diagnosis and follow-up of the middle-aged and elderly patients with hydronephrosis, especially those accompanied with hematuria.
Keywords:Ureteric obstruction  Hydronephrosis
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