肾盏憩室的诊治及预后  

Diagnosis Management and Prognosis Analysis of the Calyceal Diverticulum

作　　者：朱识淼[1] 王建民[1] 汤洋[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：《临床泌尿外科杂志》2011年第5期343-345,共3页Journal of Clinical Urology

摘　　要：目的:提高对肾盏憩室的诊断、鉴别与治疗水平。方法:回顾性分析1998～2008年17例予部分切除术的肾盏憩室(13例经开放手术、4例经后腹腔镜手术)的病历资料及回访结果。结果:16例术前诊断为肾盏憩室,1例术前诊断为肾囊肿,术中证实为肾盏憩室。所有病例均获痊愈,其中6例出现漏尿。根据憩室的大小及伴随症状将行部分切除的憩室分成三类。结论:肾盏憩室部分切除术后,发生漏尿与憩室的大小有关。采用开放手术和后腹腔镜治疗肾盏憩室,均能获得满意结果。Objective:To improve the diagnosis,differential diagnosis and treatment of calyceal diverticulum. Methods:A total of 17 patients underwent exeresis of caliceal diverticular(13 cases open surgical approach and 4 cases retroperitoneal laparoscopic) from 1998 to 2008.Retrospects it to improve the diagnosis and treatment of it. Results:16 cases were diagnosed to be calyceal diverticulum preoperative,while 1 cases were diagnosed finally by locating the neck of the diverticulum introperative.All patients recovered after operation,however.6 cases received urinomas.We made a new classification base on location,size and symptom of the diverticulum which would be incised. Conclusion:As to the patient who underwent exeresis of caliceal diverticular,postoperative urinoma is relative to the size of diverticular.Open surgery and laparoscopic techniques are used in our hospital,and both can give us satisfactory consequence.

关 键 词：肾盏憩室 鉴别诊断 术后并发症 

分 类 号：R692[医药卫生—泌尿科学]