输尿管口异位症为一较少见的泌尿系畸形,如能确诊,大部分病人可以手术治愈。我们在临床实践中发现部分病人直至成年始得到治疗机会,说明有对本病加深认识的必要。今将我院1963—1977 14年中17例加以总结及讨论。临床资料本组17例均为未婚女性。年龄最大者21岁,最小者3岁,超过15岁者5例,1—10岁者8例,11—20岁者9例。症状为正常排尿伴尿失禁者14例;另3例中1例幼时曾有尿失禁,成年后反复发生尿路感染而尿失禁消失,1例尿失禁伴有明显的尿急,尿频,1例有正常排尿而自感阴道内经常有少量分泌物流出。检查时能找到输尿管的异位开口者仅5例,其中1例异位口在尿道外口右下方而重肾双输尿管位于左侧。以静脉尿路造影显出重肾双输尿管,肾发育不良或肾不显影者12例,自异位口插管造影确诊者2例,两次静脉尿路造影未能确诊者 Ureteral dysostosis is a rare urinary system deformity, if diagnosed, most patients can be cured by surgery. In clinical practice, we found that some patients are treated until adulthood, indicating the need for a deeper understanding of the disease. Now in our hospital 1963-1977 14 years in 17 cases to be summed up and discussed. Clinical data 17 patients in this group are unmarried women. The oldest 21 years old, the youngest 3 years old, more than 15 years old in 5 cases, 1-10 years old in 8 cases, 11-20 years old in 9 cases. Symptoms were normal urination with urinary incontinence in 14 cases; the other 3 cases, 1 case had urinary incontinence, recurrent urinary tract infection in adult incontinence disappeared, 1 case of incontinence with significant urgency, frequent urination, urinary frequency, 1 Cases of normal urination and vaginal discharge often have a small amount of secretions outflow. Examination can find the ureter of the ectopic opening in only 5 cases, of which 1 case of the iliac mouth at the lower right urethral mouth and kidney double ureter in the left. In order to show intravenous urography double kidneys ureter, renal dysplasia or renal non-visualization in 12 cases, since the diagnosis of intubation angiography in 2 cases, two intravenous urography failed to diagnose