摘要
目的 探讨输尿管下段梗阻的病因 ,术前诊断及治疗。 方法 回顾性总结北京协和医院 1996年 8月～ 2 0 0 2年 12月 2 0 9例输尿管下段梗阻患者的临床资料。 结果 先天性疾病占 9% ,肿瘤性疾病占 2 4 % ,炎症性疾病占 2 8% ,结石占 31% ,其他疾病占 8%。术前诊断主要依靠B超 ,泌尿系平片 ,静脉尿路造影 ;部分患者加做逆行肾盂造影 ,CT及MRI等检查。 15 2例行开放手术治疗 ,4 6例行内窥镜治疗 ,11例行ESWL治疗。 结论 输尿管下段梗阻的病因主要为结石 ,炎症 ,肿瘤和其他少见的先天性疾病等。B超、CT及MRI检查对术前定位、定性诊断有价值。大多数病例需手术治疗 ,较小结石引起的梗阻可行非手术治疗。
Objective To evaluate the etiology, diagnosis a nd treatment of lower ureteral obstruction. Methods Clinical dat a of 209 cases of lower ureteral obstruction in Peking Union Hospital from Aug 1 996 to Dec 2002 were analysed. Results Of the 209 cases, 9% w ere congenital diseases, 24% were tumors, 28% were inflammations, 31% were stone s,and 8% were others.Preoperative diagnosis was depended on ultrasound, KUB, int ravenous pyelography,retrograde pyelography, CT and MRI. 152 of the 209 cases we re treated with open operations,46 cases were treated with endosoopic operations , 11 cases were treated with ESWL. Conclusion Stone, inflamm ation and tumor are the main causes of lower ureteral obstruction. Ultrasound, C T and MRI are useful in the diagnosis of lower ureteral obstruction.Endoscopic s urgery is hopeful in the treatment of lower ureteral obstruction.
出处
《现代实用医学》
2004年第9期522-523,共2页
Modern Practical Medicine
