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马蹄肾在临床上较少见,国内文献报告仅28例。此种畸形因有症状而治疗者较少,多于临床和尸体解剖中发现。据Mayo Clinic统计在2424次剖腹术中发现17例,在16735具尸体解剖中发现26例。我院泌尿外科自1967年以来确诊五例,其中3例均系术后确诊、术前确诊者仅2例、2例误诊为肾积水而行手术、1例行剖腹探查术确诊。结合病例复习有关文献报告如下: 临床资料本组5例、男性2例、女性3例、年龄52~16岁。病程1周~8年。主诉为腰疼者3例、包块1例、血尿1例。2例有合并症行手术治疗、3例行保守治疗观察、详见附表。
Horseshoe kidney less common in clinical, the domestic literature reported only 28 cases. This deformity due to symptoms and less treatment, more than found in clinical and autopsy. According to the Mayo Clinic statistics, 17 cases were found in 2,424 laparotomies and 26 cases were found in 16,735 autopsies. Urology in our hospital since 1967 confirmed the diagnosis of five cases, of which three cases were diagnosed after surgery, preoperative diagnosis of only 2 cases, 2 cases misdiagnosed as hydronephrosis and surgery, 1 case of laparotomy confirmed. Combined with the case review of the literature report are as follows: Clinical data The group of 5 patients, 2 males and 3 females, aged 52 to 16 years. Course of 1 week ~ 8 years. The main complaint was back pain in 3 cases, mass in 1 case, hematuria in 1 case. 2 cases were complicated by surgical treatment, 3 cases of conservative treatment, see the attached table.