Abe T, Banya Y, Fujisawa H, Sugimura J, Fujioka T
Department of Urology, Iwate Prefectural Kamaishi Hospital.
Hinyokika Kiyo. 1998 Mar;44(3):175-7.
An 11-year-old girl presented with continuous incontinence since infancy. Neither intravenous pyelography nor renal scintigraphy demonstrated the left upper urinary tract, but a very small left kidney was detected close to the 3rd lumbar vertebrae on computed tomography (CT). After cystoscopy, the patient was diagnosed with ectopic vaginal ureter and hypoplastic kidney. Laparoscopic nephrectomy was performed. Before surgery, a ureteral occlusion catheter was inserted through the meatus which opened in the vagina. The catheter was very useful for locating the small kidney during surgery. The procedure was successful and the surgical duration was short (123 min.) with only slight hemorrhage (15 ml). The patient was able to attend school on the seventh postoperative day. We recommend laparoscopic surgery for the treatment of ectopic ureter.
一名11岁女孩自婴儿期起就持续存在尿失禁。静脉肾盂造影和肾闪烁扫描均未显示左上部尿路，但在计算机断层扫描（CT）上发现一个非常小的左肾靠近第三腰椎。膀胱镜检查后，该患者被诊断为异位阴道输尿管和发育不全肾。进行了腹腔镜肾切除术。手术前，通过开口于阴道的尿道口插入了一根输尿管阻塞导管。该导管在手术中对定位小肾脏非常有用。手术成功，手术时间短（123分钟），仅轻微出血（15毫升）。患者在术后第七天就能上学。我们建议采用腹腔镜手术治疗异位输尿管。
