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患者女,29岁,因反复发作尿频、尿痛、肉眼血尿年余,左腰及左下腹痛半年于1986年2月28日入院。体检:左下腹深压痛(+),左肾区叩击痛(+),左肾下极可扪及。尿常规:白细胞(++),脓细胞(+)。BUN、Cr正常,ESR24~(mm)/h,尿培养(-),24小时尿找抗酸杆菌三次(-)。肾图:左肾呈梗阻曲线。腹部平片(-)。IVU:右肾正常;左肾显影迟缓,肾盂、肾盏中度积水,左输尿管未显示。膀胱镜检查:膀胱未见异常,右输尿管插管顺利,左侧仅能插入2cm,故左侧无法行逆行造影。左侧经皮肾穿刺造影:显示左肾明显积水,左输尿管中、下段各有一线状狭窄段,各长约3.5cm。临床
Female, 29 years old, because of recurrent episodes of frequent urination, dysuria, gross hematuria, left lower back and left lower abdominal pain for six months on February 28, 1986 admitted. Physical examination: deep left lower quadrant tenderness (+), percussion pain in the left kidney area (+), left renal palpable under extremely. Urine routine: white blood cells (++), pus (+). BUN, Cr normal, ESR24 ~ (mm) / h, urine culture (-), 24h urine to find acid fast bacilli three times (-). Kidney chart: Left renal obstruction curve. Abdominal plain film (-). IVU: right kidney normal; delayed left renal development, renal pelvis, calyx moderate hydronephrosis, left ureter not shown. Cystoscopy: no abnormal bladder, right ureter intubation, left can only be inserted 2cm, so the left can not retrograde contrast. Left percutaneous renal biopsy: the left kidney showed significant hydrocephalus, left ureter, the lower segment has a linear stenosis, each about 3.5cm. clinical