15例原发性输尿管息肉的诊治

目的 探讨原发性输尿管息肉的诊断与治疗方法,为该疾病的诊治提出方向性指导.方法 回顾性分析2009年5月至2014年6月收治的15例原发性输尿管息肉患者的临床资料.其中6例单发的输尿管息肉采取开放手术行输尿管病变切除肾盂成形术,3例行输尿管病变切除输尿管对端吻合术,3例行输尿管镜下息肉钬激光切除术,3例行腹腔镜下输尿管病变切除输尿管对端吻合术.结果 全部病例术后均获病理证实为输尿管息肉.术后随访6～12个月,未发现病变复发与恶变.结论 术前行逆行造影及输尿管镜检查是较为可靠的诊断方式.而近年来采取磁共振检查敏感性较高.开放手术处理输尿管息肉效果确切.输尿管镜下钬激光治疗输尿管息肉具有损伤小,恢复快等优势,但其远期效果则仍待观察.

Diagnosis and treatment of primary ureteral polyp (report of 15 cases)

Objectives To investigate the diagnosis and treatment of primary ureteral polyps.Methods Clinical data of 15 cases of primary ureteral polyps during May 2009 to June 2014 were retrospectively analysed.The diagnosis and treatment of this disease combined with the relative literatures were analysed.Of the 15 cases,6 solitary cases underwent local resection with pyeloplasty,3 cases underwent local resection with ureteral anastomosis,3 cases underwent polyps resection by ureteroscope operation,3 cases underwent local resection with ureteral anastomosis by laparoscopic operation.Results All cases with ureteral polyps were confirmed by pathology.No recurrence or canceration was found in all the patients after 6 ～ 12 months.Conclusions Rretrograde pyelography and ureteroscopy are the reliable methods to diagnose ureteral polyp.Ureteroscopic holmium laser in the treatment of ureteral polyp is a less invasive and rapid recovery method,but long-term results should be done in the future.