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肾钙乳是一种特殊类型的结石,临床少见.我院近3年来收治6例,报告如下.6例均为男性,年龄25—63岁,平均47.3岁.左侧4例,右侧2例.就诊原因:腹部肿块4例,腹痛发热1例,意外发现1例.并发肾结石5例,合并肾盂移行细胞癌1例;对侧巨肾盏、尿毒症1例,对侧肾盂输尿管连接部病变(PUJ)1例.KUB示肾钙乳液平并肾结石者5例,钙乳液平多者3～4个,最长3cm.IVP示6例患侧均不显影,1例对侧巨肾盏,1例对侧有PUJ.行逆行性尿路造影4例,失败2例,另2例造影剂仅进入部分肾盏内.6例术前均行常规B超检查,仅提示肾结石、肾积水.行CT检查2例,于积水最低处有“月芽”状密度增高影,随体位改变而活动.手术治疗5例,均系肾积水型.
Kidney calcium milk is a special type of stone, clinically rare in our hospital nearly 3 years, 6 cases were treated, the report is as follows .6 cases were male, aged 25-63 years, mean 47.3 years .4 on the left and 2 on the right Cases of treatment: abdominal mass in 4 cases, abdominal pain fever in 1 case, accidental findings in 1. Concurrent renal stones in 5 cases, merged renal pelvis transitional cell carcinoma in 1 case; contralateral giant calyx, uremia in 1 case, contralateral pyeloureteral connection Department of lesions (PUJ) in 1. KUB showed renal calculi and kidney stones in 5 cases, the average number of calcium milk more than 3 to 4, the longest 3cm.IVP showed 6 cases of ipsilateral no imaging, 1 case of contralateral giant Calyx, 1 case of contralateral PUJ. Retrograde urography in 4 cases, failed in 2 cases, and the other 2 cases of contrast agent only into part of the calyx .6 cases were performed conventional B-ultrasound before surgery, only prompted renal stones , Hydronephrosis line CT examination in 2 cases, the lowest water in the “bud” shape density increased shadow, with the change of position and activity. Surgical treatment of 5 cases, are the Department of hydronephrosis.