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paradoxical incontinence
相关语句
  相似匹配句对
     The Paradoxical Commandments
     似非而是的戒律
短句来源
     Paradoxical Harmony
     矛盾的和谐
短句来源
     Close urinary incontinence
     关闭失禁之门
短句来源
     STRESS INCONTINENCE OF URINE
     压力性尿失禁
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  paradoxical incontinence
Paradoxical incontinence caused by ``invisible dysplastic'' kidneys: Role of laparoscopy
      
A 29-year-old woman presented with paradoxical incontinence of urine for 3 months.
      


Objective To evaluate the efficacy of different imaging modalities for visualization of unilateral small poorly functioning hypoplastic kidney associated with occult ectopic ureters in girls with paradoxical incontinence.Methods Between 1999 to 2005,11 girls aging from 1.5 to 9 years old presented with paradoxical incontinence secondary doubtfully to small poorly functioning hypoplastic kidney were admitted to our hospital.The initial imaging evaluation included abdominal sonography in all 11 cases,computed...

Objective To evaluate the efficacy of different imaging modalities for visualization of unilateral small poorly functioning hypoplastic kidney associated with occult ectopic ureters in girls with paradoxical incontinence.Methods Between 1999 to 2005,11 girls aging from 1.5 to 9 years old presented with paradoxical incontinence secondary doubtfully to small poorly functioning hypoplastic kidney were admitted to our hospital.The initial imaging evaluation included abdominal sonography in all 11 cases,computed tomography(CT) in 3,intravenous urography(IVU) in 9.Ultimately a()~(99)Tc~m-GH renal scintigraphy was performed in all 11 girls.We reviewed and compared the results of different imaging modalities and clinic presentation of patients.Results IVU failed to visualize the affected kidneys in 9 cases and CT could not detect the affected kidneys in 3.Sonography could detect the small dysplastic kidney in only 1 patient(9.09%).()~(99)Tc~mGH renal scintigraphy could detect the affected kidneys in all 11 cases(100%).Six cases underwent ureteronephrectomy of affected kidney.The ectopic ureter orifice was identified in vagina.Conclusion Considering patients' clinical features,()~(99)Tc~m-GH renal scintigraphy is an accurate and specific imaging modality for visualization of unilateral small poorly functioning hypoplastic kidney associated with occult ectopic ureters in girls with paradoxical incontinence.

目的评价B超、排泄性静脉尿路造影(IVU)9、9Tcm-葡庚糖酸盐(99Tcm-GH)肾皮质显像等成像方式对体积细小、功能较差的女性患儿先天性单侧肾发育不良伴隐匿性输尿管异位开口的诊断价值。方法回顾性分析比较11例出生后长期反常性尿失禁,疑患先天性单侧肾发育不良伴隐匿性输尿管异位开口女性患儿的临床及不同的影像学检查资料。结果11例行腹部B超检查,仅1例显示单侧发育不良的肾脏,阳性率9.09%(1/11),9例行IVU检查,均未能显示发育不良的肾脏。3例行腹部CT检查,结果阴性。最后全部患儿行99Tcm-GH肾皮质显像,均能检出单侧发育不良肾脏,阳性率达100%(11/11),6例手术患儿术中确诊为单侧肾发育不良伴输尿管异位开口,开口位于阴道。结论结合先天性单侧肾发育不良伴隐匿性输尿管异位开口女性患儿的临床特征,99Tcm-GH肾皮质显像对此病的诊断具有较高的临床价值。

 
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