摘要
目的 :总结对输尿管囊肿的诊治经验。方法 :对我院 1 990年以来收治的 32例输尿管囊肿的临床资料进行回顾性分析。结果 :行B超、KUB +IVP、膀胱镜检可确诊本症。行经尿道囊肿切开术 2 1例 ,囊肿部分切除加膀胱内输尿管口成形术 8例 ,上位肾输尿管切除术 3例。术后随访 6个月～ 1 3年 ,30例疗效满意 ;2例失败 ,需再次手术治疗。结论 :腔内手术可作为直径≤ 3cm单纯型输尿管囊肿、新生儿输尿管囊肿及输尿管囊肿合并严重泌尿系感染的首选治疗 ,但直径 >3cm单纯型输尿管囊肿。
Objective:To summarize the diagnostic point an d therapeutic experience of ureteroceles.Methods:A retrospective analysis was reviewed in 32 cases diagno sed by our hospital from 1990.Results:All cases got confirmed diagnosis through B-ultraso nography,intravenous pyelography and Cystoscope. Twenty-one cases undertook tran surethral endoscopic incision, 8 cases got partly cystectomy and ureterocystic a nti-ref lux replantation, while other 3 cases underwent the resection of upper renal seg ments and ureterotomy. Satisfactory results were obtained in 30 cases, while onl y 2 cases failed and need reoperation.Conclusions:Transurethral endoscopic incision should be the tr eatment of first choice for intravesical ureteroceles with a diameter ≤ 3cm , n e onate ureteroceles and ureteroceles complicated severe infection of urine tract; open operation can be effectively applied to the treatment of intravesical uret eroceles with a diameter > 3cm, ectopic ureteroceles and ureteroceles with endos copic incision failed to be done.
出处
《中国内镜杂志》
CSCD
2003年第6期32-34,共3页
China Journal of Endoscopy
