Belas M, Zerbib M, Boccon-Gibod L
Ann Urol (Paris). 1985;19(6):376-80.
Complicated pyelo-ureteral duplication in the adult may be revealed by recurrent pyelonephritis or urinary leakage. The diagnosis can be performed by combined urography and ultrasound scan. The management is rarely conservative. In most cases, it consists in hemonephrectomy. The ureterectomy is partial, extending up to the pelvic brim in the case of a fine ureter. If the ureter is dilated, however, the ureterectomy must be subtotal, in order to avoid postoperative infectious recurrence.
成人复杂型肾盂输尿管重复畸形可能因复发性肾盂肾炎或尿液渗漏而被发现。诊断可通过联合尿路造影和超声扫描进行。治疗很少采用保守治疗。在大多数情况下，治疗方法是肾切除术。输尿管切除术是部分切除，对于较细的输尿管，切除范围延伸至骨盆边缘。然而，如果输尿管扩张，输尿管切除术必须是次全切除，以避免术后感染复发。
