论文部分内容阅读
患者 男,45岁。因左腰部持续疼痛15天于1997年10月13日收住院。既往无血尿史,半年前查体B超报告“左肾积水”。因无自觉症状未做进一步检查。入院后查体:腹平软,肝脾未及,全腹未及明显压痛及包块。左肾区叩击痛,尿常规正常。行静脉肾盂造影,右肾盂肾盏显影正常,左肾未显影,遂行逆行性肾盂造影示:左肾盂肾盏显影:淡薄,轮廓不清。加大造影剂剂量,注入25％泛影钠10ml后,左肾盂肾盏显影清晰,呈极度扩张形如云朵(图1),于肾盂输尿管交界处显示一约1cm×1cm充盈缺损,边缘光滑(图2)透视下观察变换各种体位均无明显变化。X线诊断:先天性输尿管狭窄,左肾盂积水。手术发现左肾盂输尿管交界处明显狭窄,只能
Male patient, 45 years old. 15 days in the left lumbar sustained pain on October 13, 1997 admitted to hospital. No previous history of hematuria, check the body B ultrasound six months ago, “left hydronephrosis.” Because no symptoms have not been further checked. After admission, physical examination: abdominal soft, liver and spleen not yet, the whole abdomen and not significantly tenderness and mass. Left kidney area percussion pain, normal urine. Intravenous pyelography, right renal pelvis calyx normal development, left kidney was not developed, retrograde pyelography showed: Left renal pelvis calyx Development: light, the outline is not clear. Increase the contrast agent dose, injection of 25% sodium panepoxide 10ml, the development of the left renal pelvis callus clear, was extremely expanding shaped like clouds (Figure 1), at the junction of the renal pelvis showed a about 1cm × 1cm filling defects, smooth edges ( Figure 2) under the perspective of observation and change a variety of postures no significant change. X-ray diagnosis: congenital ureteral stricture, left hydronephrosis. Laparoscopic ureteropexy at the junction was significantly stenosed, only