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重复肾患儿尿失禁:病例报告

Incontinence in a child with a duplex kidney: case report.

作者信息

Handler Toby F, Shapiro Ellen

出版信息

Rev Urol. 2002 Winter;4(1):44-8.

PMID:16985653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1475962/
Abstract

Persistent incontinence after toilet training in young girls and urinary tract infections or epididymitis in prepubertal boys should raise suspicion of an ectopic ureter. This often occurs in the context of duplication of kidney structures or other parenchymal abnormalities. The presence or absence of reflux affects surgical treatment, which may consist of ureteral reimplantation, ureteroureterostomy, and/or upper pole nephrectomy.

摘要

幼龄女童如厕训练后持续存在尿失禁,以及青春期前男孩出现尿路感染或附睾炎,应怀疑有异位输尿管。这种情况常发生在肾脏结构重复或其他实质异常的背景下。有无反流会影响手术治疗,手术方式可能包括输尿管再植术、输尿管输尿管吻合术和/或上极肾切除术。

相似文献

1
Incontinence in a child with a duplex kidney: case report.重复肾患儿尿失禁:病例报告
Rev Urol. 2002 Winter;4(1):44-8.
2
A Rare Case of Double-System With Ectopic Ureteral Openings Into Vagina.一例罕见的双系统且异位输尿管开口于阴道的病例。
Front Pediatr. 2018 Jun 19;6:176. doi: 10.3389/fped.2018.00176. eCollection 2018.
3
Ipsilateral ureteroureterostomy in the surgical management of the severely dilated ureter in ureteral duplication.同侧输尿管输尿管吻合术在重复输尿管严重扩张的手术治疗中的应用
J Urol. 2007 Oct;178(4 Pt 2):1689-92. doi: 10.1016/j.juro.2007.05.098. Epub 2007 Aug 17.
4
[Urinary dribbling in girls: which investigations in 2012?].[女童尿滴沥:2012年应进行哪些检查?]
Arch Pediatr. 2013 Jun;20(6):640-5. doi: 10.1016/j.arcped.2013.03.009. Epub 2013 Apr 29.
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Robotic partial nephrectomy for duplex kidney with ectopic ureter draining in the vagina in an adult patient with urinary incontinence.成年尿失禁患者双肾伴异位输尿管阴道引流的机器人辅助部分肾切除术
BMJ Case Rep. 2017 Feb 6;2017:bcr2016218576. doi: 10.1136/bcr-2016-218576.
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Surgery for duplex kidneys with ectopic ureters: ipsilateral ureteroureterostomy versus polar nephrectomy.
J Urol. 1989 Aug;142(2 Pt 2):532-4; discussion 542-3. doi: 10.1016/s0022-5347(17)38806-7.
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Ectopic ureter with complete ureteric duplication: conservative surgical management.完全性输尿管重复畸形合并异位输尿管:保守性手术治疗
J Pediatr Surg. 1996 Apr;31(4):467-72. doi: 10.1016/s0022-3468(96)90476-5.
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Factors associated with complications of the ureteral stump after proximal ureteroureterostomy.与近端输尿管-输尿管吻合术后输尿管残端并发症相关的因素。
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Ipsilateral ureteroureterostomy for the treatment of vesicoureteral reflux or obstruction associated with complete ureteral duplication.同侧输尿管输尿管吻合术治疗与完全性输尿管重复畸形相关的膀胱输尿管反流或梗阻。
J Urol. 2001 Feb;165(2):552-4. doi: 10.1097/00005392-200102000-00067.
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Management of ectopic ureters: experience with the upper tract approach.异位输尿管的管理:上尿路途径的经验
J Urol. 1997 Sep;158(3 Pt 2):1245-7.

引用本文的文献

1
Ureteral Reflux into an Ectopic Upper Moeity of a Duplex Kidney from the Bladder Neck with Distal Ureteral Pseudodiverticulum Formation.膀胱颈输尿管反流至重复肾异位上半肾,伴远端输尿管假性憩室形成。
J Clin Diagn Res. 2016 Sep;10(9):TD07-TD09. doi: 10.7860/JCDR/2016/21739.8455. Epub 2016 Sep 1.
2
Ectopic Ureter Accompanied by Duplicated Ureter: Three Cases.伴有重复输尿管的异位输尿管:三例报告
J Clin Diagn Res. 2015 Sep;9(9):PD10-2. doi: 10.7860/JCDR/2015/13933.6446. Epub 2015 Sep 1.

本文引用的文献

1
Normal and abnormal development of the ureter in the human embryo; a mechanistic consideration.人类胚胎中输尿管的正常与异常发育;机制探讨
Anat Rec. 1946 Dec;96(4):355-71. doi: 10.1002/ar.1090960403.
2
Incontinence due to an infrasphincteric ectopic ureter: why the delay in diagnosis and what the radiologist can do about it.括约肌下异位输尿管所致尿失禁:为何诊断延迟以及放射科医生对此能做些什么。
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3
A single-system ectopic ureter draining an ectopic dysplastic kidney: delayed diagnosis in the young female with continuous urinary incontinence.一个单一系统的异位输尿管引流一个异位发育异常的肾脏:年轻女性持续性尿失禁的延迟诊断。
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4
Male duplex urinary incontinence.
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Ureteral ectopia in infants and children.婴幼儿输尿管异位
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Observations on ureteral ectopy in children.儿童输尿管异位的观察
J Urol. 1972 Feb;107(2):308-13. doi: 10.1016/s0022-5347(17)61012-7.
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Resolution of vesicoureteral reflux in completely duplicated systems: fact or fiction?
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Occult ectopic ureter in girls with urinary incontinence: diagnosis by using CT.
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Single-system ectopic ureters: a review of 12 cases.单系统异位输尿管:12例病例回顾
J Pediatr Surg. 1992 Apr;27(4):491-6. doi: 10.1016/0022-3468(92)90345-8.