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报告19例先天性巨输尿管。其除具有诊断本病的所有特征外,尚具以下特点:①输尿管管壁增厚而扩张;②扩张以下段为重,呈纺缍状;③末段粘膜肉眼可见慢性炎症改变;④功能梗阻段病理发现少量胶原纤维增生,纵肌稀疏不整。并提出采取解除功能梗阻,保留患肾的手术方案为佳。同时还对手术适应证、输尿管整形膀胱再植术的注意事项进行讨论。
Report 19 cases of giant ureter. In addition to its diagnosis of all the features of the disease, it has the following characteristics: ① ureteral wall thickening and expansion; ② expansion of the following paragraph as heavy, was spun-like; ③ end of the mucosal visible changes in chronic inflammation; ④ functional obstruction Segment found a small amount of collagen hyperplasia, longitudinal muscle sparse irregular. And proposed to lift the function of obstruction, retention of the kidney surgery program is better. At the same time also surgical indications, ureteral plastic bladder replantation considerations.