摘要
报告输尿管囊肿28例。男性18例,女性10例。以血尿、腰痛、膀胱刺激症状及排尿困难为主要表现,50%合并患侧上尿路及囊内结石。所有病例均于术前明确诊断,其中膀胱镜诊断准确率100.0%,IVU诊断率840%,B超诊断率632%。治疗以经尿道输尿管囊肿切开或去顶术为主(23例),其余为开放手术治疗。术后平均随访78个月,效果良好,行经尿道手术治疗的患者未见返流发生。结果显示。
28 cases of ureterocele were reviewed.The cardinal clinical manifestations were hematuria,lumbago,urinary irritation and dysuria.Calculi in the lumen of ureterocele and the upper urinary tract were observed in 50% of the cases.Diagnosis was established before surgical intervention in all.The accurate diagnosis rate of cystoscopy,IVP and ultrasonography has been 100.0%,84.0% and 63.2% respectively.Transurethral incision of the ureterocele was conducted in 23 cases.The patients have been followed up for a mean of 7.8 months with no vesicoureteral reflux found on follow up studies.Transurethral incision of the ureterocele is simple and effective and renders minimal trauma to the patients.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1998年第9期522-523,共2页
Chinese Journal of Urology