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肾不发育是一种少见的先天性肾脏异常。我们遇见2例,报告如下: 例1 李某,男,22岁。1975年10月入院,主诉右侧腰部绞痛,伴血尿,继之出现尿闭。第4天恢复排尿转入我院。查体:一般情况尚好。血压130/78,两肾未扪及,右肾区有叩击痛。血、尿常规正常,中段尿培养无细菌生长。酚红试验2小时排出89%。肾图左肾无功能,右肾呈尿路梗阻图型。排泄性肾盂造影左肾未显影,右肾下盏有一小结石阴影,伴轻度积水。膀胱镜检查:两侧输尿管口正常,但左侧未见滴尿。输尿管插管,右侧顺利,引流通畅,左侧插至7cm受阻,注水不通。10月24日行左侧手术探查,只发现5×3×2.5cm的不整形纤维组织及似火柴棒粗的输尿管。病理检查:肾重30克,镜检仅见部份肾小管,诊断为肾不发育。 例2 彭某,女,14岁。1980年4月入院,其
Renal hypoplasia is a rare congenital renal abnormality. We met two cases, the report is as follows: Example 1 Lee, male, 22 years old. In October 1975 admitted, complained of the right side of the waist cramps, with hematuria, followed by urinary tract obstruction. Day 4 urination transferred to our hospital. Physical examination: the general situation is good. Blood pressure 130/78, two kidneys palpable, right perineal area percussion pain. Normal blood, urine routine, no bacterial growth in the middle urine culture. Phenol red test 2 hours 89%. Nephrology left kidney no function, the right kidney showed urinary tract obstruction pattern. Excretory pyelography left kidney is not developed, the right kidney has a small shadow of the lower cup, with mild water. Cystoscopy: Both sides of the ureter mouth normal, but no drop of urine on the left. Ureteral intubation, smooth right, drainage patency, plug the left 7cm blocked, water barrier. On the 24th of October, the left surgical exploration was performed. Only 5 × 3 × 2.5cm non-shaped fibrous tissue and thick ureter like matchstick were found. Pathological examination: kidney weight 30 grams, microscopic examination only see part of the renal tubules, diagnosis of kidney development. Example 2 Pengmou, female, 14 years old. April 1980 admitted, its