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患者男性,35岁,右腰部胀痛尿频5月。痛向右侧大腿及会阴部放射,以夜间为甚.体检:一般情况好,血压15/9kPa.右肾下极触及,质软.尿红细胞+++,白细胞少许.B超提示右肾积水,右输尿管上段扩张.IVP提示右肾积水,右输尿管未显影。逆行肾盂造影见右辖尿管平第三腰椎处呈“S”形,由外转至内侧下行至膀胱.于1986年5月28日在硬膜外麻醉下行右输尿管复位术.见扩张迂曲之输尿管于第三腰椎水平从腔静脉后绕至腔静脉前面下行.分离腔静脉和输尿管之间的疏松粘连.将腔静脉后狭窄之输尿管切除2cnl.复位后两断端剪成斜面.
Male patient, 35 years old, right lower back pain and frequent urination in May. Pain to the right thigh and perineal radiation, even at night. Physical examination: the general situation is good, blood pressure 15 / 9kPa. Right renal inferior touch, soft. Urine red blood cells +++, leukocytes a little. Water, the upper right ureteral dilatation.IVP prompted the right hydronephrosis, right ureter is not developed. Retroperitoneal pyelography see the right of the third urinary tube lumbar vertebra at a “S” shape, from the outside to the medial descending to the bladder in 1986 May 28 epidural anesthesia for right ureteral decompression. See expansion tortuous Ureter in the third lumbar level after the vena cava to the vena cava in front of the line down the separation of the vena cava and ureteral loose adhesions. The vena cava stenosis after ureteral resection 2cnl.