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腹腔镜检查在诊断和处理小异位发育异常肾所致尿失禁中的应用

Laparoscopy in diagnosis and management of urinary incontinence caused by small ectopic dysplastic kidney.

作者信息

Gupta N P, Goel A, Kumar P, Aron M

机构信息

Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(5):332-3. doi: 10.1007/s001920200072.

Abstract

We describe a case of urinary incontinence which was caused by a small ectopic dysplastic kidney where all preoperative investigations including ultrasound, intravenous urography, micturating cystourethrogram, technetium-99m ((99m)TC) diethylenetriamine penta-acetic acid renal scan, spiral CT scan and angiography failed to reveal the offending kidney. Only a (99m)Tc dimercaptosuccinic acid scan suggested the presence of a small left kidney located in the iliac region. The patient underwent laparoscopy and the offending kidney was identified and excised.

摘要

我们描述了一例尿失禁病例,其病因是一个小的异位发育异常肾,所有术前检查包括超声、静脉肾盂造影、排尿性膀胱尿道造影、锝-99m(99mTc)二乙三胺五乙酸肾扫描、螺旋CT扫描和血管造影均未能发现该致病肾。只有99mTc二巯基丁二酸扫描提示左髂区存在一个小肾脏。患者接受了腹腔镜检查,找到了致病肾并将其切除。

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