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1950年以来国内共报告输尿管瓣膜症14例,均为单侧.我院于1984年收治1例双侧输尿管瓣膜症,现报告如下:患者男,12岁,肉眼血尿伴腰部隐痛3天,于1984年3月13日入院,静脉尿路造影发现双侧肾盂积水,延迟45分钟拍片,右侧肾盂积水大部排空,左侧仍显影明显,膀胱镜检查:逆行插入输尿管导管,左侧插入15cm 受阻,右侧插入17cm 受阻,逆行造影两侧肾盂积水,左侧肾盂输尿管连接处呈倒“V”形,右侧该处呈漏斗形。术前初步诊断:先天性双侧输尿管瓣膜症。手术探查左侧病变,见肾发育正常,肾盂明显扩大积水,肾盂输尿管连接处外观正常,切开肾盂用 F5号导管向输尿管下方探查不能通过,将肾盂切口延至插管受阻区,见肾盂输尿管连接处有一圆顶样膈膜,中央有一小孔,仅能通过 F4号输尿管导管,用力时见
A total of 14 cases of ureteral valve disease were reported in our country since 1950. One case of bilateral ureteral valve disease was admitted to our hospital in 1984. The report is as follows: Male, 12 years old, with gross hematuria with waist pain for 3 days, March 13, 1984 admission, intravenous urography found bilateral hydronephrosis, delayed 45 minutes film, most of the right side of the hydronephrosis emptying, the left is still significant imaging, cystoscopy: retrograde catheterization of the ureter, left Side of the insertion 15cm blocked, right inserted 17cm obstruction, retrograde angiography hydronephrosis on both sides of the left ureteropelvic junction was inverted “V” shape, the right was funnel-shaped. Preoperative diagnosis: Congenital bilateral ureteral valve disease. Surgical exploration of the left lesion, see normal renal development, renal pelvis significantly enlarged water, the ureteropelvic junction appearance is normal, cut the renal pelvis with F5 catheter to explore the ureter below can not pass, the renal pelvis incision extended to the intubation blocked area, see the ureteropelvic The junction has a dome-like diaphragm, the center has a small hole, only through the F4 ureter catheter, hard see