SYMPTOMATIC URETERAL STUMPS
SYMPTOMATIC URETERAL STUMPS
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DOI：
10.1016/s0022-5347(17)61332-6
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发表时间：
1971-01-01
影响因子：
6.6
通讯作者：
GREENE, LF
中科院分区：
文献类型：
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作者：
MALEK, RS;MOGHADDAM, A;GREENE, LF
材料与方法1935 ~ 1963年共收治输尿管残端42例。在此期间，进行了4，883例肾切除术（不包括上尿路尿路上皮恶性肿瘤）。本研究不包括与上尿路癌同时或随后发生的输尿管残端。年龄3 ~ 72岁，平均40岁。右侧和左侧以相等的频率受到影响。大多数患者具有尿脓毒症的常见体征-尿急、尿频、排尿困难、血尿和尿混浊（表1）。排在第二位的是侧腹窦和下腹（耻骨上）腹痛。2例患者在阴道检查中发现盆腔肿块。既往肾切除术的适应症（通常是多个）见表2。切除的尿路部分不存在癌。单纯肾切除与残端切除的间隔时间为3个月~ 25年，平均6
MATERIALS AND METHODSBetween 1935 and 1963, 42 cases of symptomatic ureteral stumps were encountered. During this period 4,883 nephrectomies (not including those for urothelial malignancies of the upper urinary tract) had been performed. Ureteral stumps with carcinomas developing concurrently or subsequently to those of the upper urinary tract were not included in this study. There were 24 female and 18 male patients, ranging from 3 to 72 years old (average 40 years). The right and left sides were affected with equal frequency. The majority of patients had the usual signs of urosepsis-urgency, frequency, dysuria, hematuria and cloudy urine (table 1). Draining flank sinus and lower quadrant (suprapubic) abdominal pain ranked next. In 2 patients a pelvic mass was found on vaginal examination. Indications (often multiple) for the previous nephrectomy are noted in table 2. No carcinomas existed in the parts of the urinary tract removed. The interval between simple nephrectomy and subsequent excision of the remaining stump varied from 3 months to 25 years (average 6