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结节性多动脉炎系中、小血管的坏死性脉管炎。这些血管可影响任何器官,并使其变性,常侵犯肾脏及睾丸,但尿路受累罕见。作者报道一例结节性多动脉炎致双侧输尿管狭窄。病例报告男性41岁,右胁腹痛,周期性发热达39℃,右手、右腿麻木及疼痛,静脉肾盂造影和脊髓造影正常,6周后结肠肝曲特发穿孔,并进展为肝下脓疡,经右结肠部分切除及脓液引流而治愈。2月后发现右输尿管狭窄而就诊。体检发现手指缺血及萎缩。血白细胞11000,血细胞压积41%,尿液分析正常,红细胞沉降率31～86mm/h,血清蛋白电泳正常,抗核抗体、冷球蛋白、类风湿因子
Polyarteritis nodosa, small vessel necrotizing vasculitis. These vessels can affect any organ and degeneration, often invading the kidneys and testicles, but urinary tract involvement is rare. The authors report a case of nodular polyarteritis caused bilateral ureteral stricture. Case report Male 41 years old, right-sided abdominal pain, periodic fever of 39 ℃, right leg, numbness and pain in the right leg, intravenous pyelography and normal myelography, 6 weeks after the onset of colonic hepatic trichomes perforation and progress to liver abscess , By the right colon resection and pus drainage and cure. After 2 months found right ureteral stricture and treatment. Physical examination found finger ischemia and atrophy. Blood leukocyte 11000, hematocrit 41%, normal urinalysis, erythrocyte sedimentation rate 31 ~ 86mm / h, normal serum protein electrophoresis, anti-nuclear antibody, cryoglobulin, rheumatoid factor