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间歇性肾积水。腹痛的一个原因。

Intermittent hydroephrosis. A cause of abdominal pain.

作者信息

Dunn D H, Williams R D, Gonzalez R

出版信息

Arch Surg. 1978 Mar;113(3):329-30. doi: 10.1001/archsurg.1978.01370150101025.

DOI:10.1001/archsurg.1978.01370150101025
PMID:637701
Abstract

Intermittent hydronephrosis may appear as acute abdominal pain. Between episodes of pain, the patient may be asymptomatic, and the intravenous urogram usually will be normal. The condition is diagnosed from intravenous urograms taken either during an episode of pain or after hydronephrosis has been precipitated by hydration. There are many causes of intermittent hydronephrosis; however, the closed renal pelvis and nondistensible ureteropelvic junction are important factors in nearly all cases. Pyeloplasty is the best treatment and is usually curative.

摘要

间歇性肾积水可能表现为急性腹痛。在疼痛发作间歇期,患者可能无症状,静脉肾盂造影通常也会正常。该病症通过在疼痛发作期间或通过水化诱发肾积水后进行的静脉肾盂造影来诊断。间歇性肾积水有多种原因;然而,闭合性肾盂和不可扩张的输尿管肾盂连接处几乎在所有病例中都是重要因素。肾盂成形术是最佳治疗方法,通常可治愈。

相似文献

1
Intermittent hydroephrosis. A cause of abdominal pain.间歇性肾积水。腹痛的一个原因。
Arch Surg. 1978 Mar;113(3):329-30. doi: 10.1001/archsurg.1978.01370150101025.
2
Ureteropelvic junction obstruction.肾盂输尿管连接处梗阻
J Clin Gastroenterol. 1979 Dec;1(4):337-40. doi: 10.1097/00004836-197912000-00011.
3
Intermittent hydronephrosis secondary to ureteropelvic junction obstruction: clinical and imaging features.输尿管肾盂连接处梗阻继发间歇性肾积水:临床及影像学特征
Pediatrics. 2006 Jan;117(1):139-46. doi: 10.1542/peds.2005-0583.
4
Hydronephrosis: Comparison of extrinsic vessel versus intrinsic ureteropelvic junction obstruction groups and a plea against the vascular hitch procedure.肾积水:外在血管性梗阻与内在肾盂输尿管连接部梗阻组的比较以及对血管牵拉手术的反对意见
J Pediatr Urol. 2015 Apr;11(2):80.e1-6. doi: 10.1016/j.jpurol.2014.10.014. Epub 2015 Mar 4.
5
Intermittent hydronephrosis: a unique feature of ureteropelvic junction obstruction caused by a crossing renal vessel.间歇性肾积水:由交叉肾血管引起的肾盂输尿管连接部梗阻的独特特征。
Radiology. 1985 Sep;156(3):655-8. doi: 10.1148/radiology.156.3.4023225.
6
[Echography in renal colic].
Radiol Med. 1988 Jul-Aug;76(1-2):78-82.
7
[A clinical study of intermittent hydronephrosis].[间歇性肾积水的临床研究]
Hinyokika Kiyo. 1997 Oct;43(10):703-6.
8
[Dodatkowa tętnica nerkowa przyczyną skrajnego wodonercza u 5-letniego chłopca].[额外的肾动脉作为一名5岁男孩严重肾积水的病因]
Pol Merkur Lekarski. 2018 Apr 23;44(262):201-204.
9
Dietl's crisis: a syndrome of episodic abdominal pain of urologic origin that may present to a gastroenterologist.迪特尔危象:一种源于泌尿系统的发作性腹痛综合征,可能会被胃肠病学家诊治。
Am J Gastroenterol. 1997 Dec;92(12):2289-91.
10
Abdominal pain, intermittent hydronephrosis, and accessory renal vessels.腹痛、间歇性肾积水及副肾血管。
JAMA. 1967 Mar 13;199(11):846-8.

引用本文的文献

1
No pain, no pathology?不痛就没有病变?
BMJ Case Rep. 2012 Oct 26;2012:bcr2012007256. doi: 10.1136/bcr-2012-007256.
2
Ureteral incarceration in the symptomatology of hydronephrosis.输尿管嵌顿在肾积水症状学中的表现
Int Urol Nephrol. 1992;24(1):21-6. doi: 10.1007/BF02552112.