Volume 4,Issue 5
CT尿路成像诊断完全性输尿管重复畸形的价值
—— 一例报告与诊疗分析
完全性输尿管重复畸形是泌尿系统最常见的先天性结构异常之一,其经典解剖与临床转归遵循Weigert-Meyer法则。本文报道一例84岁女性患者,输尿管软镜碎石术中发现左侧完全性输尿管重复畸形,其解剖特征明确违背Weigert-Meyer法则的预测,揭示了依赖经典定律与常规影像学评估存在的“双重盲区”。结合文献复习,本文探讨了该罕见变异的潜在胚胎学机制,提出将CTU作为上尿路手术前标准化评估的核心工具,实现从经验推测向客观三维解剖证据的范式转换,从而有效规避术中风险、提升手术安全性与患者预后。
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