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患者,女,32岁。主诉:一年来右侧腰部钝痛,持续性,不放射。体检:右肾增大,B 超提示右肾积水。尿常规:红细胞(+),蛋白微量。IVP 检查:左肾功能良好,但旋转欠佳,输尿管正常;右肾功能减损,延迟显影示全收集系统严重积水,输尿管未显影。逆行插入导管平片示右输尿管向中线偏斜,至第三腰椎水平折向外侧,导管通过受阻,不能进入肾盂。逆行造影:输尿管上段呈
Patient, female, 32 years old. Chief Complaint: Over the past year, the right side of the waist dull pain, persistent, non-radiation. Physical examination: the right kidney increases, B-Tip right hydronephrosis. Urine routine: red blood cells (+), protein trace. IVP examination: Left kidney function is good, but the rotation is poor, the ureter is normal; right renal dysfunction, delayed imaging showed that the entire collection of severe hydrocephalus, ureter undeveloped. Retrograde catheterization plain film shows the right ureter to the midline skewed to the third lumbar level to the lateral, the catheter through obstruction, can not enter the renal pelvis. Retrograde angiography: upper ureteral was