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目的:评价腔内微创治疗输尿管囊肿伴结石的疗效。方法:回顾性分析2004年3月～2008年12月收治的12例输尿管囊肿伴发结石病例资料。囊肿位于左侧8例,右侧4例,均为单侧发病。9例伴输尿管囊内结石,3例并输尿管结石。输尿管囊肿采用经尿道输尿管囊肿切除术,术时保留上方囊壁作为抗反流的活瓣。结石采用输尿管镜钬激光碎石术。结果:12例患者均一次手术成功。术后随访3个月～1年,临床症状均消失,8例B超提示肾积水消失,4例明显减轻。4例行排尿性膀胱尿道造影未见明显反流现象。结论:使用腔内镜微创治疗输尿管囊肿伴发结石是一种简单有效的治疗方法。
Objective: To evaluate the efficacy of minimally invasive endoscopic ureteral cyst with stones. Methods: A retrospective analysis of 12 cases of ureteral cyst with calculi associated with stone from March 2004 to December 2008 was performed. The cyst was located on the left side in 8 cases and on the right side in 4 cases, all of which were unilateral. 9 cases with ureteral calculi, 3 cases with ureteral calculi. Ureter cyst transurethral ureter cyst excision, surgery to retain the upper wall as anti-reflux valve. Ureteroscopic ureteroscopic holmium laser lithotripsy. Results: All the 12 patients were operated successfully. All cases were followed up for 3 months to 1 year. The clinical symptoms disappeared. Eight cases of B-ultrasound showed hydronephrosis disappeared and 4 cases were relieved. 4 routine urinary bladder urethroscopy no significant reflux phenomenon. Conclusion: Endoscopic minimally invasive treatment of ureteral cyst with calculi is a simple and effective treatment.