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1989～1998年我院共收治先天性巨输尿管症24例。均采用输尿管折叠加抗逆流输尿管膀胱顶部移植术治疗,取得较满意效果,报告如下。 1 临床资料 1.1 一般资料 本组男15例、女9例。年龄18～42岁,平均27.8岁。24例共32侧巨输尿管,其中左侧9例,右侧7例,双侧8例,后者中有2例伴1侧肾发育不良。14例有腰酸胀痛,7例合并间歇性肉眼血尿,3例有镜下血尿。4例有肾绞痛史,其中2例患侧伴发输尿管下段结石。5例有尿频、尿急、尿痛或脓尿等尿路感染症状,其中1例合并发热。1例体检B超发现双肾积水,经进一步检查确诊为本病。病程3个月～8年,平均33个月。
From 1989 to 1998, a total of 24 cases of congenital giant ureter in our hospital were treated. Are using ureteral folds and anti-reflux vesical vesicle transplantation for the treatment, achieved more satisfactory results, the report is as follows. 1 Clinical data 1.1 General Information The group of 15 males and 9 females. Aged 18 to 42 years old, with an average of 27.8 years old. There were 24 cases of giant ureter in 32 sides, including 9 cases on the left, 7 cases on the right, 8 cases on both sides, and 2 cases on the left in 1 case. 14 cases of lumbar pain, 7 cases of intermittent gross hematuria, 3 cases of microscopic hematuria. 4 cases had a history of renal colic, including 2 cases of ipsilateral ureteral calculi. 5 cases of urinary frequency, urgency, dysuria or pyuria and other symptoms of urinary tract infection, including 1 case of fever. A case of physical examination B-found hydrocephalus, confirmed by further examination for the disease. Duration of 3 months to 8 years, an average of 33 months.