输尿管息肉的诊断与治疗（附16例报告）

目的探讨输尿管息肉的诊断及治疗方法。方法回顾分析16例原发性输尿管息肉患者的临床资料,其中2例行肾输尿管大部切除术,10例行病变输尿管切除加肾盂成形术或输尿管再植术,4例行息肉切除加基底电灼术。结果术后12例获得2-60个月随诊,未见息肉复发与恶变。结论X线造影是重要的诊断方法,术前确诊需依靠输尿管镜检查加组织活检。根据病变数量、累及输尿管范围及患者肾功能决定手术方法。

Diagnosis and treatment of ureteral polyp (report of 16 cases)

Objective To study the diagnosis and treatment of ureteral polyps. Methods The data of 16 cases of ureteral polyps were reviewed and discussed. 2 cases were treated with nephroureterectomy; 10 cases with local resection plus pyeloplasty or ureteral reimplantation; 4 cases with polyps resection plus basement fulguration. Results 12 cases had been followed up for 2--60 months with no recurrence or canceration. Conclusion X-ray opacification is an important method in the diagnosis of ureteral polyps, but the final diagnosis depends on ureteroscopy and biopsy. A correct choice of the surgical approach should be decided by the number of polyps, the area involved and the renal unit function of patients.