输尿管囊肿的诊断和处理（附17例报告）

目的总结输尿管囊肿的诊治经验。方法对住院手术治疗的17例输尿管囊肿患者临床资料进行分析。结果所有患者均于手术前明确诊断,其中,膀胱镜诊断准确率100%,IVU诊断率84%,B超诊断率63.2%,开放手术13例,经尿道输尿管囊肿切开术4例。17例患者术后随访,疗效确切。结论对囊肿直径≤3.0cm宜行经尿道电切术,而对直径〉3.0cm及合并严重的重复肾、重复输尿管畸形者应采用开放性手术,并行输尿管再植抗返流。

The diagnosis and management of ureterocele (Report of 17 cases)

Objective To sum up the experience of diagnosis and treatment of ureterocele,Methods Transvesical ureterocele excisions and ureter reimplantations or transurethral incisisons of ureteroceles（TUIU） were carried out for 17 adult patients with single-system ureteroceles from 1986 to 2002 in this hospital.Results Diagnosis was established berore surgical intervention in all.The accurate diagnosis rate of cystoscopy,IVP and ultrasonography has been 100.0%,84.0% and 63.2% respectively.These patients have been followed up for a mean of 8 years.Secondary iarge haemorrhage occurred in 1 case after TUIU.No postoperative reflux,ureteral stricruce or relapsing ureterocele were found.The etology,diagnosis and treatment indication of ureterocele were discussed in details.Conclusion Those with a diameter of ≤3cm should be incised by transvesical excision and reimplantation in avoidance of postoperative vesicoureteral reflux.