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先天性一侧肾脏缺如(孤立肾)是一种不常见的泌尿系畸形,但临床工作中也并非罕见,甚至误将孤立肾切除者亦时有所闻。由于孤立肾本身可不表现任何症状,往往是因合并其他畸形或并发其他疾病进行检查或手术时才发现。而孤立肾对感染,结石等易感性较高,尤其南方结石多发区,在诊治这些疾病时应注意孤立肾的可能性。现将我院近年来收治的3例孤立肾及其并发症的治疗情况作一报导,并复习有关文献加以讨论。例1 秦××,男,18岁,住院号100429。于1971年5月参加军训中突发肉眼全程血尿,伴右腰钝痛,活动后症状反复出现,于1971年9月8日入院。入院后检查,血压112/80毫米汞柱,右肾区轻度叩击痛,尿常规红细胞(+++)肾功能正常,唯酚红试验较正常排泄稍慢,腹部 X 线平片见右肾区有一花生仁大结石影,静脉肾盂造影右肾璇转不全,肾盂扩大,左肾不显影,双倍剂量造影亦不显影,同位素肾左侧无功能。膀胱镜检查,左输尿管口仅见痕迹,导管不能插
Congenital kidney deficiency (isolated kidney) is an uncommon urinary deformity, but clinical work is not uncommon, and even mistakenly isolated nephrectomy are also heard. Because the isolated kidney itself may show no symptoms, it is often found when other deformities or other diseases are complicated by examination or surgery. The isolated kidney infection, stones and other high susceptibility, especially in the southern areas of multiple stones, the diagnosis and treatment of these diseases should pay attention to the possibility of isolated kidney. Now my hospital admitted in recent years, 3 cases of isolated kidney and its complications of treatment for a report, and review the literature to be discussed. Example 1 Qin × ×, male, 18 years old, hospital number 100,429. In 1971 May to participate in military training in the sudden gross hematuria, with right lower back dull ache, recurring symptoms after the event, on September 8, 1971 admission. Admission examination, blood pressure 112/80 mm Hg, right kidney area mild percussion pain, urinary RBC (+++) normal renal function, the only phenol red test slightly slower than normal excretion, abdominal plain X-ray see the right Kidney area has a peanut large stones, intravenous pyelography right kidney Xuan incomplete, renal pelvis enlargement, left kidney is not developing, double dose imaging is not developing, the left kidney isotope without function. Cystoscopy, traces of the left ureter only see, the catheter can not be inserted