输尿管口囊肿的腔镜手术与开放手术治疗探讨  

Diagnosis and treatment of ureteroceles in adults

作　　者：熊伟[1] 吴斌[1] 王曦[1] 王铀[1] 罗军[1] 陈乐意[1] 

机构地区：[1]重庆市第一人民医院泌尿科,400011

出　　处：《重庆医学》2008年第15期1655-1656,共2页Chongqing medicine

摘　　要：目的探讨输尿管口囊肿的治疗方法。方法回顾性分析18例成人输尿管口囊肿的临床资料。18例患者均采用B超、IVU及膀胱镜检查,3例采用三角区重建术,15例行经尿道囊肿低位横切术。结果18例患者治愈,随访1～5年无并发症发生。结论输尿管口囊肿主要靠影像学诊断,三角区重建术及经尿道低位横切术是一种较理想的术式,术后随访是各种治疗不可忽视的问题。Objective To study the diagnosis and treatment of ureteroceles in adults. Methods Eighteen cases of ureteroceles in adults were studied retrospectively in our hospital. All patients were diagnosed by B type ultrasonic scan, intravenous urography （IVU） and cystoscopy before operation. Trigone reconstruction was performed in 3 cases and low transurethral incision was used in 15 cases. Results Eighteen cases were cured and followed up for 1--5 years without complications. Conclusion The imaging examinations such as B type ultrasonic scan,IVU and cystoscopy are the major diagnostic methods for ureteroceles in adults. Trigone reconstruction and low transurethral incision are the better method for ureteroceles in adults. The postoperative follow-up should not be neglected in all the patients.

关 键 词：输尿管囊肿 诊断 治疗 

分 类 号：R699.4[医药卫生—泌尿科学]