经尿道电切术治疗输尿管囊肿23例疗效观察

Report of 23 cases of ureterocele treated by trans-urethral resection.

目的探讨对提高输尿管囊肿的诊断和治疗水平的方法. 方法总结10年收治的23例患者的临床资料.术前行B超、IVU、CT或膀胱镜检查.23例均采用经尿道内腔镜电切治疗.结果B超和IVU两种检查结合可明显提高诊断符合率,膀胱镜检查的准确率为100%.经尿道电切术后随访1～10年,所有患者术后症状改善,积水消失或改善,无尿液返流.结论B超和IVU是理想而必要的检查,对手术方法的选择有指导意义,经尿道电切术治疗输尿管囊肿安全有效,为优先考虑的手术方式.

Objective To explore the methods for diagnosis and treatment of ureterocele. Methods The clinical data of ureterocele patients between 1994 - 2004 were reviewed. Uhrasonograph, IVU, CT or cystoscopy were used before operation and endoscopic incision in all cases. Results Ultrasonograph in combination with IVU can enhance the final diagnosis rate. The correct rate for diagnosis of cystoscopy was 100%. All patients were followed up for a duration of 1 - 10 years with good results. Conclusion Ultrasonograph in combination with IVU is effective and necessary for diagnosis of uretcrocele. Trans - urethral resection is the choice for treatment of patients with ureterocele.