论文部分内容阅读
患者男,16岁,住院号80·5350。以间断腰疼伴尿黄10余年,腰疼发作频繁伴全程肉眼血尿4年而求治。追问病史:无明显膀胱刺激征,不伴冷烧:否认结核史、外伤史。体验:双肾未触及,右肾区有叩击痛;尿化验红细胞满视野,蛋白(+++)。泌尿系平片示第二腰椎右侧约2厘米处有一约2×1.5厘米之致密阴影。逐以“右肾结石”收住外科。经术前准备在连续硬膜外麻醉下行右肾盂切开取石,取出一约2×1.5×1.5厘米表面粗糙之结石;术中发现右肾盂轻度积水:以 F 8号导尿管探查输尿管时受阻,检查:于距肾盂输尿管交界约6厘米处之近端输尿受增粗直径约1厘米,远端正常,导尿管于该处受阻。切开受阻上方增粗之输尿管探查:该处有一倒嗽叭花样膜状组织,周围与输尿管壁严密相连,其中心有一约0.1厘米之小孔与下段输尿管相通。遂将该段输尿管切除,残端对端吻合,
Patient male, 16 years old, hospital number 80 5350. To intermittent back pain with urinary yellow more than 10 years, frequent episodes of back pain with full-blooded hematuria for 4 years and seek treatment. Question history: no obvious bladder irritation, not accompanied by cold: denied history of tuberculosis, history of trauma. Experience: the kidneys did not touch, the right kidney area percussion pain; urine test full of red blood cells, protein (+++). Urinary plain film shows about 2 cm on the right side of the second lumbar spine has a dense shadow of about 2 × 1.5 cm. By “right kidney stone” admitted to surgery. Preoperative preparation of continuous epidural anesthesia in the right renal pelvis incision lithotomy removed about 2 × 1.5 × 1.5 cm rough surface of the stone; found in the right renal pelvis mild hydrocephalus: F 8 Catheter ureter Obstruction, check: at a distance of about 6 cm from the junction of the ureteropelvic ureter by the proximal diameter of about 1 cm thickening, distal normal, the catheter obstruction. Cut open obstruction above the thickening of the ureter exploration: where there is a down cough-like membranous tissue around the wall closely connected with the ureter, the center of a hole about 0.1 cm and the lower ureter connected. Then the section of ureter resection, stump anastomosis,