输尿管结石合并息肉的治疗(附35例报告)

Treatment of Ureteral Stones with Polyps(Report of 35 Cases)

目的探讨输尿管结石合并息肉的处理方法.方法 2010年1月至2010年6月,采用输尿管镜钬激光碎石对35例输尿管结石合并息肉患者进行治疗,26例行单纯碎石,9例行息肉样组织浅表烧灼.双J管4周后拔除.结果 32例术后随访6～12月,结石完全排净,28例肾积水消失,4例肾脏仍有轻度积水,无输尿管狭窄.结论在处理输尿管结石合并息肉时,重点是将结石清除,应避免对息肉过度治疗.

Objective To investigate the treatment methods of ureteral stones with polyps.Methods The data of 22 patients with ureteral stones with polyps were reviewed,in which 26 were given lithotripsy alone,and 9 were given polypoid tissue superficial burning from January 2010 to June 2010.The double J tubes were removed after four weeks.Results In 6～12 months follow-up,all stones in patients disappeared,hydronephrosis disappeared in 28 cases,mild hydronephrosis was still in 4 cases,and no ureteral stricture occurred.Conclusion The treatment of ureteral polyps with stones should be focused on stone clearance,instead of excess polyps treatment.