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对 30例重肾双输尿管畸形手术患儿的临床表现、诊治方法进行回顾性分析。结果 :2 9例术后恢复良好 ,临床症状完全消失 ,无并发症 ,手术成功率为 96 .7%。仅 1例术后 1年因并发膀胱输尿管返流行左肾切除术。认为重肾双输尿管畸形的诊断主要依靠IVU、B超、CT等检查 ,目的是为了发现异位输尿管引流的肾脏或肾段 ;重肾上半肾及输尿管部分切除、输尿管膀胱再植术、单侧肾及输尿管切除术仍为治疗有临床症状的重肾双输尿管畸形的有效方法。
The clinical manifestations, diagnosis and treatment of 30 cases of double kidney ureter malformation surgery were analyzed retrospectively. Results: Twenty-nine patients recovered well and the clinical symptoms disappeared completely without complication. The successful rate of operation was 96.7%. Only 1 patient had a left nephrectomy due to vesicoureteral reflux after 1 year. That the diagnosis of double renal deformity mainly rely on IVU, B ultrasound, CT and other tests, the purpose is to find the ectopic ureter drainage renal or renal section; kidney and ureter partial resection of the kidney, ureter bladder replantation, single Lateral renal and ureter resection is still an effective method for the treatment of severe renal double ureteral deformity with clinical symptoms.