先天性输尿管瓣膜症60例分析

目的：对我科收治的60例输尿管瓣膜症进行回顾性分析，以探讨先天性输尿管瓣膜症的诊断和治疗。方法：对所有病例均行定期门诊随诊及B超检查，并对63例输尿管做了病变段切除＋尿路重建术的病人于手术后3－6个月行静脉肾盂造影IVP检查，以了解治疗效果，结果：59条输尿管做瓣膜段输尿管节切除加尿路重建，术后恢复好，4条作单纯叶状瓣膜切除，术后1例16个月后积水加重，再次手术治疗，3例作肾切除，2条输尿管未作手术，分别已观察5年，3年无异常，结论：先天性输尿管瓣膜以儿童多见，因缺乏特有的临床表现，故术前诊断较为困难，治疗应根据不同情况采取不同的治疗方法。

Analysis of 60 Cases with Congenital Ureteral Valves

Objective:To discuss the diagnosis and management o f congenital ureteral with retrograde analysis of 60 cases. Methods:Partial ureterectomy plus reconstruction were done in 63 sid es of ureteral valves. IVP were taken to evaluate the effect of therapy 3 to 6 m onths after operation. Results:Partial ureterectomy plus reconstruction were done on 59 sides of ureters. 4 sides neceived longitudinal ureterotomy with excision of valve le aflets. And one of them was reoperated after 16 months because of severe hydrone phrosis, and confirmed circular valves by pathology. 3 cases were managed by nep hrectomy plus ureterectomy. And another 2 cases unoperated were followed up for 3 and 5 years, respectively. Conclusion:Congenital ureteral valves were more common in children, an d the diagnosis before operation was difficult. Treatment should be different in different cases.