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作者以往的临床研究表明,当肾积水合并膀胱顺应性差时,膀胱充盈对上尿路输送尿液功能有明显影响。本研究旨在明确肾积水患者膀胱功能正常时膀胱充盈对上尿路有何影响。病例选择:非选择的21例患者(男13例,女8例)有单侧肾积水,并有腰痛和/或肾功能减退。其中6例还有同侧输尿管积水。这6例中2例曾行输尿管膀胱再植,术后造影证实无膀胱输尿管返流。方法:所有病人均于局麻下经皮肾穿刺置入F7造瘘管,接Y型管,-臂连测压器,另臂作滴注用。用造影剂滴注可观察肾盂情况。同时插导尿管以便在试验过程中排空或充盈膀胱,导尿管亦与测压装置相
The author’s previous clinical studies showed that when hydronephrosis with poor bladder compliance, bladder filling on the urinary tract urinary transport function had a significant effect. The aim of this study was to determine the effect of bladder filling on the upper urinary tract when bladder function is normal in patients with hydronephrosis. Case Selection: Non-selected 21 patients (13 males and 8 females) had unilateral hydrocephalus with low back pain and / or impaired renal function. Six cases also had ipsilateral ureteral hydronephrosis. Of the 6 cases, 2 had ureteral bladder replantation, postoperative angiography confirmed no vesicoureteral reflux. Methods: All patients under local anesthesia percutaneous renal puncture into F7 fistula, then Y-tube, - arm with manometer, the other arm for infusion. Contrast agent infusion can be observed renal pelvis situation. At the same time, the catheter is inserted to empty or fill the bladder during the test. The catheter is also connected to the pressure-measuring device