肾盏憩室的诊断和外科治疗(附13例报告)  

Diagnosis and treatment of calyceal diverticula:Report of 13 cases

作　　者：石洋[1] 徐勇[1] 牛远杰[1] 权昌益[1] 徐建立[1] 张昌文[1] 

机构地区：[1]天津医科大学第二医院泌尿外科,天津市泌尿外科研究所,天津300211

出　　处：《天津医科大学学报》2009年第3期470-471,488,共3页Journal of Tianjin Medical University

摘　　要：目的:探讨肾盏憩室的影像学诊断及外科治疗。方法:回顾性分析13例肾盏憩室患者的临床资料。结果:13例患者中有7例直接经肾盂静脉造影(IVP)检查而确诊,9例行CT检查者无一得到正确诊断;9例采用手术方式的患者中,4例采用肾脏部分切除术,5例采用开放/腹腔镜肾盏憩室切除术。结论:IVP是肾盏憩室确诊比较可靠的方法。肾盏憩室切除术是目前主要的手术方式,但其并发症的发生率较肾脏部分切除术高。Objective： To explore the radiological diagnosis and surgical treatment of calyceal diverticula. Methods： The clinical records of 13 patients with calyceal diverticular in about 10 years were analyzed retrospectively. Results： 7 cases got accurate diagnosis by intraveneous pyelography （IVP）. 9 cases examined by CT got wrong diagnosis. 9 cases were treated by surgical operations, 4 cases by renal ablation and 5 cases by calyceal diverticula excision （ open or laparoscop ）. Conclusion： The diagnosis of calyceal diverticula depends on IVP examination chiefly. Calyceal diverticula excision is the preferable surgical treatment ,athough it＇s complication is higher than renal ablation.

关 键 词：肾盏憩室 肾盂静脉造影 诊断 外科治疗 

分 类 号：R692[医药卫生—泌尿科学]