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输尿管囊肿的诊断和处理(附28例报告) 被引量:37

The diagnosis and management of ureterocele (Report of 28 cases)
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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840%,B超诊断率632%。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78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
关键词 输尿管囊肿 诊断 外科手术 Ureteral diseases Gysts
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