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目的:提高对输尿管息肉的诊断与治疗水平。方法:对15例输尿管息肉的临床资料进行回顾性分析。术前行肾、输尿管及膀胱(KUB)平片、静脉及逆行尿路造影、输尿管镜检查、B超和尿脱落细胞学检查。15例中,3例行输尿管切开、息肉切除术,6例行息肉段输尿管切除、输尿管端端吻合术,2例行息肉切除、肾盂成形术,2例行下段输尿管切除、输尿管膀胱再植术,2例行输尿管镜下息肉切除术。结果:术后随访9个月至8年3个月,症状均消失,肾积水明显减轻8例,消失7例,未见息肉复发及恶变。结论:放射学检查是诊断输尿管息肉的主要方法。确诊依赖于输尿管镜检查及活检。在治疗上应根据息肉大小、数量、部位及肾脏受累程度选择不同的术式。
Objective: To improve the diagnosis and treatment of ureteral polyps. Methods: The clinical data of 15 cases of ureteral polyps were retrospectively analyzed. Preoperative renal, ureteral and bladder (KUB) plain film, intravenous and retrograde urography, ureteroscopy, B ultrasound and exfoliative cytology. In 15 cases, 3 cases underwent ureteral incision and polypectomy, 6 cases underwent polypectomy and ureteric anastomosis, 2 cases underwent polypectomy, pyeloplasty, 2 cases under ureter, ureter and bladder replantation Surgery, 2 cases underwent ureteroscopic polypectomy. Results: All the patients were followed up for 9 months to 8 years and 3 months. The symptoms disappeared, the hydronephrosis was relieved in 8 cases and disappeared in 7 cases. No recurrence of polyps and malignant transformation were observed. Conclusion: Radiological examination is the main method of diagnosis of ureteral polyps. Diagnosis depends on ureteroscopy and biopsy. In the treatment should be based on polyp size, number, location and degree of involvement of the kidney to choose different surgical procedures.