Fujii M, Samii T, Ohkuchi T, Matsuki S
Department of Urology, Hiroshima General Hospital.
Hinyokika Kiyo. 1990 May;36(5):599-604.
We reported 2 cases of megaureter in children. The courses of renal function and ureteral dilatation in these patients were observed by urography and renoscintigraphy to determine the timing of surgery. These two patients with unilateral megaureter were treated by reconstructive operation involving excision of the stenotic portion of the ureter, tapering of the dilated ureter and re-implantation. The courses after reconstruction were excellent after 5 years. Recently, active surgery has been recommended for megaureter together with identification of the cause. Urograms and diuretic renoscintigrams were useful for determining the timing of surgery in our cases.
我们报告了2例儿童巨输尿管病例。通过尿路造影和肾闪烁显像观察这些患者的肾功能和输尿管扩张过程，以确定手术时机。这两名单侧巨输尿管患者接受了重建手术，包括切除输尿管狭窄部分、使扩张的输尿管变细并重新植入。重建术后5年效果良好。近来，对于巨输尿管建议积极手术并查明病因。尿路造影和利尿肾闪烁显像对我们病例中手术时机的确定很有用。
