원발성 폐색성 거대요관
Primary Obstructive Megaureter: Report of Seven Cases
소속 상세정보
정경우/Jung GW
정문기/윤종병/Jung MG/Yoon JB
KMID : 0358319860270050695
Abstract
Megaureter literally means a large ureter and is not used to denote a specific disease process.
In this report a classification was proposed according to International pediatric urologic seminar in 1976. Seven cases of primary obstructive megaureter were presented with literature.
This diagnosis excluded infravesical obstruction, reflux and neurogenic disorders.
The results were as follows;
1. 6 cases were left, 1 case was bilateral.
2. The symptom of pyuria was observed in 2 cases, flank pain and pyuria were observed in 2 cases hematuria was observed in 2 cases, abdominal distention was observed in 1 cases.
3. Histologic findings showed inflammation of mucosa and submucosa in 3 cases, submucosal fibrosis and muscular hypertrophy in 2 cases and submucosal fibrosis and inflammation in 2 cases.
4. 6 cases were treated by Politano-Leadbetter ureteroneocystostomy and 1 case of them was tailored 1 case was treated by nephrourethrectomy.
5. Follow up study was performed in 5 cases of Politano-Leadbetter ureteroneocystostomy. 4 cases of them showed improved pyuria and hydroureteronephrosis.
키워드
거대요관; megaureter
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