经尿道钬激光切除术治疗成年人单纯性输尿管口囊肿的疗效观察  

Transurethral holmium laser resection for adult ureterocele

作　　者：王劭亮[1] 徐友明[1] 王书龙[1] 李方[1] 陈侃[1] 

机构地区：[1]武警湖北省总队医院泌尿外科,湖北省武汉430061

出　　处：《中国基层医药》2016年第18期2780-2783,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨经尿道钬激光切除术治疗成年人输尿管口囊肿的临床疗效及可行性。方法回顾性分析22例成年输尿管口囊肿患者的临床资料，均采用经尿道膀胱镜下钬激光切除术治疗输尿管口囊肿，近端保留足够的囊壁组织约1／3。避免切除过多囊壁组织，造成输尿管膀胱反流、肾盂积水。结果22例术后病理检查：输尿管口囊肿。住院时间6～12 d，平均8 d。20例患者获随访，2例失访。随访时间为12～26个月，平均17个月。20例患者术后随访均显示尿液分析无异常。泌尿系彩超显示患者肾积水消失5例，肾积水改善15例，无肾积水加重患者。膀胱镜检查显示输尿管口愈合光滑，囊肿无复发，排尿性膀胱尿道造影显示无膀胱输尿管反流。结论经尿道膀胱镜下钬激光切除术治疗输尿管口囊肿，具有操作简便、器械要求低、安全可靠的优点，尤其对于广大基层医院，值得进一步临床推广。Objective To explore the curative effect and security of transurethral holmium laser resection for＆nbsp;adult ureterocele.Methods 22 cases with adult ureterocele were retrospectively studied.Eight adult ureterocele cases were male and 14 cases were female.The mean age was 36.5 years （ranged from 20 to 67years）.All of the patients were unilateral onset,15 cases on the left side and 7 cases on the right side.The mean course of the disease was 31 months （ranged from 15d to 12 years）.The clinical presentations were varied.All 22 cases were treated by tran-surethral holmium laser resection.About one -third of cyst wall were left in order to avoid vesicoureteral reflux and hydronephrosis.Results All 22 cases succeeded uneventfully.The pathologic study confirmed that 22 cases were ure-terocele.The mean hospital stay was 8days （ranged from 6 to 12days）.Mean follow -up time was 17 months （12 -26 months）,while 2 cases were lost.All 20 cases urine alalysis was normal.Five patients showed no hydronephrosis, while 10 cases showed less hydronephrosis.Cystoscopy showed all 20 cases ureteral healing was smooth,and none showed recurrence of ureterocele.Voiding cystourethrography showed none of vesicoureteral reflux.Conclusion Transurethral holmium laser resection would be a good choice for adult ureterocele,because the treatment has the advantages of simple operation,low requirement of equipment,safety and reliability.Especially for the primary level hospital,transurethral holmium laser resection is worth further clinical promotion.

关 键 词：输尿管口囊肿 钬激光 经尿道 膀胱镜 

分 类 号：R699.4[医药卫生—泌尿科学]