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發表於 2012-9-20 00:59:40 |顯示全部樓層

女子就医发现自己拥有四个肾

  中广网哈尔滨11月17日消息(记者杨沼畔 衣晓峰) 今年11月初,31岁的李女士感觉腰部酸胀且尿色粉红,迅速赶往黑龙江省森工总医院泌尿外科就诊,彩超确诊为左肾结石。在医生的指导下,又为她进行肾盂排泄造影检查,结果让小李大为惊讶的是,自己患有结石的左肾上方还有一个左肾,两颗肾脏分别引出两条输尿管平行下行至第5腰椎处融合,犹如一对亲密的“双胞胎”。而对侧肾脏让在场的医生们也都吃惊不小,同样也是两颗右肾上下罗列,两根输尿管同样伴行至第5腰椎处融合。该院副院长、泌尿外科主任李学东介绍说:像小李这样长了4颗肾脏4根输尿管的病人,在临床上特别罕见。

  李女士得知自己的病情后非常担心,经过李学东教授等人细致检查,发现她虽有4个肾脏,探秘90米消防云梯车 风速超6级云梯自锁,但是每一个都比正常人的小,对身体没有明显影响,返利网,可尽量保留其功能。因小李肾结石已确诊并体积较大,需采取微创方式给予取石。最后该院专家为她施行了“经皮肾镜左肾结石碎石清石术”,清除了所有的结石,保护了患侧肾脏。

  李学东教授介绍说:像小李这样的重复肾临床上堪称凤毛麟角,妻子暗自调查第三者发现丈夫重婚,至今无法统计其发病率。自1656年首次被发现以来,仅有百例左右报道,其中单侧发病左侧多见,村支部扩建办公室要求返乡创业农民工搬迁,国外专家分别在1970年和2002年报道了双侧额外肾患者共4例。虽然此病出生时就存在,但很少在儿童时期发现,甚至成年大多数都无明显症状。临床被明确诊断的病人平均年龄为36岁。其常见症状为腹痛、发热、高血压、尿路感染和可触及腹部包块等、尿路感染或梗阻两者同时存在,这些均是导致病人就诊的主要原因。

  李学东教授说,重复肾治疗方面有相应的指证,即:1.无症状,可终身不被发现,仅尿路感染而无其它异常(如肾积水、输尿管口异位)时,宜用药物控制感染,无需手术;2.有输尿管异位开口者,一般采取输尿管膀胱再植术;当伴重度肾积水和反复发作的泌尿系感染等症状时,可行重复肾及输尿管切除术;若双侧均异位开口,可行分期手术;3.对无输尿管异位开口者,一般采取保守治疗或行输尿管膀胱再植术,若血尿、腰痛、尿路感染反复发作且重复肾重度积水、肾皮质菲薄者,可行重复肾及输尿管切除术。

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發表於 2012-9-21 17:04:11 |顯示全部樓層

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發表於 2012-9-22 17:01:03 |顯示全部樓層

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發表於 2012-9-28 11:31:26 |顯示全部樓層

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發表於 2012-9-28 18:13:08 |顯示全部樓層

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發表於 2012-10-2 06:33:26 |顯示全部樓層

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發表於 2012-10-2 12:28:00 |顯示全部樓層

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發表於 2012-10-5 10:19:23 |顯示全部樓層

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發表於 2012-10-6 01:22:07 |顯示全部樓層

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發表於 2012-10-11 18:51:23 |顯示全部樓層

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