Mandell J, Bauer S B, Colodny A H, Lebowitz R L, Retik A B
J Urol. 1981 Aug;126(2):219-22. doi: 10.1016/s0022-5347(17)54452-3.
The diagnosis of ureteral ectopia may be suspected in the girl who wets constantly or in the young boy with epididymitis. More commonly, however, the diagnosis is made during evaluation of the child with urinary tract infection. The ectopic ureter is most often associated with a poorly functioning dysplastic upper pole of a duplex collecting system and in this instance it is best managed by upper pole heminephrectomy and partial ureterectomy. When associated with a single collecting system, ureteral reimplantation can often be performed if salvageable function is demonstrated by a preoperative renal scan. Based on our experience with 48 ectopic ureters in 41 children operated on during the last 11 years, the correlation of the diagnostic findings and surgical approaches to this entity are discussed.
对于持续尿床的女孩或患有附睾炎的小男孩，可能会怀疑输尿管异位症。然而，更常见的情况是，在对患有尿路感染的儿童进行评估时做出诊断。异位输尿管最常与重复集合系统发育不良的上极功能不佳相关，在这种情况下，最好通过上极半肾切除术和部分输尿管切除术进行处理。当与单一集合系统相关时，如果术前肾脏扫描显示有可挽救的功能，通常可以进行输尿管再植术。根据我们在过去11年中对41名儿童的48条异位输尿管手术的经验，讨论了该疾病的诊断结果与手术方法之间的相关性。
