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目的 提高对先天性囊性肾发育不良的认识及诊治水平。方法 检查方面 ,3例经 B超、KUB、IVU及 CT检查 ;2例加行膀胱镜及输尿管插管 ;1例在 B超引导下经皮囊肿穿刺造影。治疗方面 ,2例行患肾切除术 ;1例行经皮囊肿穿刺抽囊内液。结果 2例行患肾切除术 ,病理所见为肾实实萎缩 ,被众多囊肿所取代。肾盂肾盏腔消失 ,输尿管呈实性条索状 ,病理诊断符合多发性囊性肾发育不良 ;另 1例因拒绝手术而行囊肿穿刺后保守治疗。结论 先天性囊性肾发育不良 ,若无症状可观察 ,有症状或有并发症可行患肾切除术
Objective To improve congenital cystic renal dysplasia awareness and diagnosis and treatment level. Method examination, 3 cases by B ultrasound, KUB, IVU and CT examination; 2 cases plus cystoscopy and ureteral intubation; 1 case of B-guided percutaneous cyst puncture. Treatment, 2 patients with nephrectomy; 1 case of percutaneous cyst puncture puncture fluid. Results 2 patients underwent nephrectomy, the pathology seen as atrophy of the kidney, was replaced by many cysts. Pyelonephric cavity disappeared, the ureter was a solid cord-like, pathological diagnosis in line with multiple cystic renal dysplasia; the other 1 case refused surgery and conservative treatment of cyst puncture. Conclusions Congenital cystic renal dysplasia, if asymptomatic observable, symptomatic or complications of nephrectomy feasible