Pintér A, Jilling A, Vajda M, Baranyi E, Farkas A
Pécsi Orvostudományi Egyetem Gyermekklinika.
Orv Hetil. 1991 May 26;132(21):1143-8.
Two infants, 7 children and 1 young woman have been surgically treated for ureteral ectopy in the Departments of Paediatrics and of Urology of the Medical University of Pécs over the last 15 years (1974-1989). The girl/boy ratio was 8/2. In girls, who were otherwise toilet-trained with a normal voiding pattern, constant wetting and urinary infection were the leading clinical findings. The site of ureteral drainage was the vestibule in 4 patients, the urethra in 3, the vagina in 1, the prostatic utricle in 1, and it could not be determined in 1 girl. Diagnosis was based on intravenous urography, voiding cystourethrography, ultrasonography, isotope scan, endoscopy and filling up of the bladder with a methylene blue solution. The diagnosis was more obscure when the ectopic ureter drained a poorly functioning kidney. Considering that in ectopy with duplicated system the upper pole renal segment is almost always destroyed, upper pole nephrectomy and proximal ureterectomy are advocated. In 1 neonate with esophageal atresia and tracheo-esophageal fistula ultrasonography detected the ureteral malformation. In 1 girl bilateral single ureteral ectopy was found.
在过去15年（1974 - 1989年）间，佩奇医科大学儿科和泌尿外科对2名婴儿、7名儿童和1名年轻女性进行了输尿管异位手术治疗。男女比例为8/2。在排尿模式正常且已接受如厕训练的女孩中，持续尿床和泌尿系统感染是主要的临床症状。4例患者输尿管开口于前庭，3例开口于尿道，1例开口于阴道，1例开口于前列腺小囊，1名女孩的开口位置无法确定。诊断依据静脉肾盂造影、排尿性膀胱尿道造影、超声检查、同位素扫描、内窥镜检查以及用亚甲蓝溶液充盈膀胱。当异位输尿管引流功能不佳的肾脏时，诊断更为困难。鉴于在重复系统的异位情况中，上极肾段几乎总是遭到破坏，主张行上极肾切除术和近端输尿管切除术。在1例患有食管闭锁和气管食管瘘的新生儿中，超声检查发现了输尿管畸形。1名女孩被发现患有双侧单输尿管异位。
