先天性输尿管瓣膜症60例分析  

Analysis of 60 Cases with Congenital Ureteral Valves

作　　者：吴宏飞[1] 张炜(小)[1] 顾民[1] 钱立新[1] 张炜(大) 

机构地区：[1]南京医科大学第一附属医院泌尿外科,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2001年第2期144-145,共2页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的 :对我科收治的 6 0例输尿管瓣膜症进行回顾性分析 ,以探讨先天性输尿管瓣膜症的诊断和治疗。方法 :对所有病例均行定期门诊随诊及 B超检查 ,并对 6 3条输尿管做了病变段切除 +尿路重建术的病人于手术后 3～ 6个月行静脉肾盂造影 (IVP)检查 ,以了解治疗效果。结果 :5 9条输尿管做瓣膜段输尿管节切除加尿路重建 ,术后恢复好。 4条作单纯叶瓣状瓣膜切除 ,术后 1例16个月后积水加重 ,再次手术治疗。 3例作肾切除。 2条输尿管未作手术 ,分别已观察 5年、3年无异常。结论 :先天性输尿管瓣膜以儿童多见 ,因缺乏特有的临床表现 ,故术前诊断较为困难 。Objective:To discuss the diagnosis and management o f congenital ureteral with retrograde analysis of 60 cases. Methods:Partial ureterectomy plus reconstruction were done in 63 sid es of ureteral valves. IVP were taken to evaluate the effect of therapy 3 to 6 m onths after operation. Results:Partial ureterectomy plus reconstruction were done on 59 sides of ureters. 4 sides neceived longitudinal ureterotomy with excision of valve le aflets. And one of them was reoperated after 16 months because of severe hydrone phrosis, and confirmed circular valves by pathology. 3 cases were managed by nep hrectomy plus ureterectomy. And another 2 cases unoperated were followed up for 3 and 5 years, respectively. Conclusion:Congenital ureteral valves were more common in children, an d the diagnosis before operation was difficult. Treatment should be different in different cases.

关 键 词：输尿管疾病 先天性输尿管瓣膜症 诊断 治疗 发病机理 临床特征 

分 类 号：R693.1[医药卫生—泌尿科学]