腺性输尿管炎(附四例报告)

目的 提高对腺性输尿管炎的认识。方法 总结经病理证实的4例病人资料，就其病理特征、临床表现、诊断及治疗进行讨论。结果 2例行病输尿管切除及输尿管成形术，1例行输尿管镜电灼术，1例因梗阻致肾严重积水而行肾输尿管切除术。病人恢复顺利，随访2－10年，未见复发，患侧肾积水无加重。结论 腺性输尿管炎少见，发病机理尚不清楚。对可疑病变应行病理检查，切忌盲目按输尿管肿瘤行肾切除术。

Glandularis ureteritis(report of 4 cases)

Objective To present 4 cases of glandularis ureteritis. Methods 4 cases treated from 1985 to 1998 were reviewed.The diagnosis was assessed on histopathologic studies in all.The clinical manifestations,the diagnosis and treatment were discussed. Results Resection of the affected ureter and ureteroplasty were undertaken for 2 patients.Ureteronephrectomy was performed for 1 patient because of serious hydronephrosis due to obstruction.Electrofulguration via ureteroscopy was carried out for another patient.All patients have been well and without recurrence on following up for 2-10 years. Conclusions Glandularis ureteritis is not frequently seen and the etiopathogenesis is not yet clear.Biopsy is very important for suspected neoplasm of ureter before performing nephrectomy.