原发性非特异性输尿管炎的诊断与治疗  

Primary non specific ureteritis

作　　者：李汉忠[1] 王惠君[1] 宋宗禄[1] 徐峰极[1] 崔全才[2] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院泌尿外科,100730 [2]中国医学科学院中国协和医科大学北京协和医院病理科,100730

出　　处：《中华外科杂志》2000年第10期761-763,共3页Chinese Journal of Surgery

摘　　要：目的　提高对原发性非特异性输尿管炎的认识。　方法　报告 3例原发性输尿管炎结合文献对其病因、病理、临床表现作一简要介绍 ,提出了本病与继发性非特异性输尿管炎、输尿管结核、输尿管阴性结石和输尿管癌的鉴别要点。并对本病的治疗方法进行了讨论。　结果　术前无一能明确诊断 ,误诊率较高。手术行输尿管部分切除输尿管膀胱再植术 1例 ,输尿管部分切除输尿管端端吻合术 2例 ,术后随诊效果较好。　结论　原发性非特异性输尿管炎术前诊断比较困难 ,确诊依靠病理学 ,治疗有赖于手术 。ObjectiveTo better understand primary non specific ureteritis. Methods The etiological, clinical, and pathological manifestations,diagnosis, and treatment of 3 cases of primary non specific ureteritis were discussed. Results Preoperative diagnosis failed. Uretero ureterostomy was performed in 2 cases, and ureteroneocystostomy in one. The patients were free from hydronephrosis and ureteral dilatation. ConclusionsDiagnosis depends on pathological manifestations, differentiation from secondary non specific ureteritis, ureteral tuberculosis, negative X ray of ureteral stone and ureteral carcinoma. Surgical intervention is effective with good prognosis.

关 键 词：原发性非特异性输尿管炎 诊断 治疗 

分 类 号：R693[医药卫生—泌尿科学]