| Objective:This study which aims at the clinical diagnosis, differential dagnosis and treatment of duplex kidney and severe hydronephrosis, retrospectively analyzes11cases of duplex kidney and severe hydronephrosis diagnosed in Sir Run Run Shaw Hospital the affiliated hospital of Zhejiang University from Mar2004to Mar2011.Method:This study retrospectively analyzes11cases of duplex kidney and severe hydronephrosis diagnosed in Sir Run Run Shaw Hospital the affiliated hospital of Zhejiang University from Mar2004to Mar2011.Results:The number of patients is11, with males:females ratio being5:6and average age43.5years. These6cases of duplex kidney severe hydronephrosis patients had nonspecific clinical manifestations. They felt lumbus distensible and lumbus ache.5cases had no obvious clinical symptoms.7patients were diagnosed by B ultrasound, CTU and other imaging diagnosis as duplex kidney severe hydronephrosis, had duplex kidney ectomy.4cases of duplex kidney hydronephrosis were found to be mistaken as renal cyst with iconography through intraoperative exploration, and changed to duplex kidney ectomy. Conclusion:The clinical symptoms of hydronephrosis caused by duplex kidney contain soreness and pain in kidney areas. The diagnosis mainly depends on iconography, requiring clear normal and abnormal images of forms of kidney and ureter. Sometimes B ultrasound, CTU, IVP, retrograde retrograde urography, MRU, radionuclide examination, and a lot of other imaging methods are required for diagnosis with comprehensive analysis when one imaging test can not show both clearly. For some complex duplex kidney hydronephrosis, it is hard to diagnose with iconography, and needs surgical exploration to find two sets of the collection system or intraurethral cannula with injection of methylene blue solution and see whether it flows out of the cyst wall. Duplex kidney with severe hydronephrosis can have the operation of duplex kidney and ureteral resection. |
PDF Full Text Request