目的 探讨异位肾的外科手术治疗策略,并评价其临床疗效.方法 回顾性分析我院2000年1月～2009年10月间35例异位肾患者的临床资料,术前经B超、静脉尿路造影、膀胱镜、CT、MRU和放射性核素等检查明确诊断.其中异位肾合并同侧输尿管异位开口26例（重复肾重复输尿管畸形3例）,异位肾合并中度或重度积水9例（异位肾结石3例）,大部分患者均有不同程度的肾脏发育不良(24/35).所有患者均采用手术治疗,行异位肾切除术25例,异位肾输尿管膀胱再植术7例,异位肾肾盂切开取石术3例.结果 术后随访7～29月,35例患者均取得满意疗效.结论 根据异位肾合并的畸形及并发症采取相应的外科手术治疗策略,可以获得良好的临床效果.%Objective To explore the surgical strategy for ectopic kidney and evaluate the clinical outcomes. Methods From January 2000 to October 2009, 35 cases of ectopic kidney were treated surgically in our hospital. Definite diagnoses were established in all the cases by ultrasound, intravenous urography (IVU), cystoscope, CT, magnetic resonance urography (MRU) and radionuclide imaging before the surgery. In these patients, 26 had ipsilateral ectopic ureteral orifice (including 5 with bilateral duplicated kidneys and ureter), 9 had moderate or severe hydronephrosis (including 3 with ectopic kidney calculi), and 24 had dysplastic kidney (24/35). All the patients underwent operations, including 26 with ectopic nephrectomy, 7 with ectopic ureterovesical reimplantation, and 3 with ectopic renal pelvis incision. Results The clinical effect was satisfactory in all the cases during the follow up of 7 to 29 months. Conclusion Appropriate surgical approaches according to the concurrent deformities and complications can achieve good clinical results in patients with ectopic kidneys.
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