输尿管囊肿的诊断与治疗

目的探讨输尿管囊肿临床处理的优选方案.方法回顾分析10年间收治的输尿管囊肿32例,全部病例均经膀胱镜和输尿管镜检查确诊并加用彩色多普勒能量显像(CDEI)检查.耻骨上经膀胱输尿管囊肿切除12例,耻骨上经膀胱输尿管囊肿切除同时行输尿管膀胱抗反流吻合4例.经尿道输尿管囊肿切开或去顶治疗6例.单纯囊肿切除黏膜下隧道成形术(Mason术)5例.经腹膜后囊肿切除输尿管整形手术5例.结果全部病例中仅发生3例膀胱输尿管反流,平均随访18个月也没有发现结石复发和尿路感染发生.结论膀胱镜检查是诊断输尿管囊肿的确切手段;CDEI检查对鉴别输尿管囊肿还是肿瘤、结石、血栓有益.经尿道手术治疗输尿管囊肿是一种简便、安全和行之有效的治疗手段;而Mason手术临床医生容易掌握.

Diagnosis and treatment of ureterocele

Objective] To evaluate the clinical management procedures for suitable plan of ureterocele.Method] There were 32 cases of ureterocele for analysis retrospectively in our study from Jan.1995 to Dec.2004.Diagnosis was established by cyctoscopy and ureteroscopey in all.Colorful Doppler energy image(CDEI)could be use as a distinguishing method.There were various performances of ureteral operation.Results] All patients have no vesicoureteral reflux found on follow up studies for a mean of 18 months.Also,there weren't recurred of urinary calculi or infection.Conclusions] The cyctoscopy is the appropriate diagnostic means of ureterocele.CDEI examination was the useful method for distinguishing ureterocele from ureteral tumor,calculus,and breeding obstruction,etc.Transurethral procedure is the convenient,safely and effective treatment for ureterocele.Mason' operation was easy to taken by surgeons.