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В норме его диаметр — 3–5 мм, при мегауретере — до 7 мм и более [1](https://mc21.ru/articles/megaureter/)[9](https://yandex.ru/medicine/disease/megaureter). \n\nЗаболевание приводит к нарушению оттока мочи из почек в мочевой пузырь [1](https://mc21.ru/articles/megaureter/). В 90% случаев мегауретер сопровождается другими отклонениями в работе мочеполовой системы (кисты или удвоение почек, гидронефроз) [1](https://mc21.ru/articles/megaureter/).\n\n\n\n## Причины\nНекоторые причины мегауретера: \n* **Врождённые аномалии** мочеточника или уретеро-везикального соустья [7](https://www.KrasotaiMedicina.ru/diseases/children/megaurether). Например, врождённый стеноз, клапан или дивертикул мочеточника, кистозное расширение дистального отдела (уретероцеле) [7](https://www.KrasotaiMedicina.ru/diseases/children/megaurether). \n* **Вторичный мегауретер** — развивается вследствие патологии мочевого пузыря и уретры (нейрогенной дисфункции мочевого пузыря, хронического цистита и др.) [7](https://www.KrasotaiMedicina.ru/diseases/children/megaurether).\n\n## Симптомы\nВ некоторых случаях патология протекает бессимптомно и выявляется случайно при обследовании пациента [1](https://mc21.ru/articles/megaureter/). Однако чаще всего мегауретер характеризуется следующими признаками [1](https://mc21.ru/articles/megaureter/): \n* ноющая или тянущая боль в области поясницы или боку на стороне поражения, усиливающаяся при физической активности [1](https://mc21.ru/articles/megaureter/)[9](https://yandex.ru/medicine/disease/megaureter); \n* учащённые позывы к мочеиспусканию, особенно в ночное время (никтурия) [1](https://mc21.ru/articles/megaureter/)[9](https://yandex.ru/medicine/disease/megaureter); \n* рецидивирующие инфекции мочевыводящих путей вследствие застоя мочи в расширенном мочеточнике [1](https://mc21.ru/articles/megaureter/)[9](https://yandex.ru/medicine/disease/megaureter); \n* появление крови в моче (гематурии), которая видна невооружённым глазом или определяется только при лабораторном исследовании [9](https://yandex.ru/medicine/disease/megaureter); \n* ощущение тяжести или распирания в животе, особенно при значительном увеличении размеров мочеточника [9](https://yandex.ru/medicine/disease/megaureter).\n\n## Диагностика\nДля диагностики мегауретера используют, например: \n* **Ультразвуковое исследование (УЗИ)** почек и мочевыводящих путей [1](https://mc21.ru/articles/megaureter/). При мегауретере на УЗИ определяется расширение мочеточника более 7 мм в диаметре, а также истончение и деформация его стенок [1](https://mc21.ru/articles/megaureter/). \n* **Компьютерную или магнитно-резонансную томографию** — позволяют получить детальное изображение почек и мочеточников, выявить сопутствующие аномалии развития или патологические процессы [1](https://mc21.ru/articles/megaureter/). \n* **Радиоизотопное исследование (динамическую нефросцинтиграфию)** — назначается для анализа функционального состояния почек и мочеточников [1](https://mc21.ru/articles/megaureter/).\n\n## Лечение\nЛечение мегауретера зависит от причины и тяжести заболевания [9](https://yandex.ru/medicine/disease/megaureter). 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