非特异性输尿管炎(附11例报告)

Non-specific ureteritis (report of 11 cases)

目的 提高非特异性输尿管炎的诊治水平。 方法 回顾性分析 11例非特异性输尿管炎临床资料。男 6例 ,女 5例。年龄 2 4～ 6 7岁 ,平均 4 8岁。病变位于输尿管上段 1例 ,中段 3例 ,下段 7例 ,均为单侧 ,其中多发 2例。开放手术治疗 7例 ,行输尿管镜检查、活检并置入双J管 4例 ,其中输尿管镜气囊扩张治疗 1例。 结果 病理检查均证实为黏膜上皮增生及典型慢性炎症。术后随访 10例 ,6个月～ 2 .4年 ,平均 1.6年。肾积水消失 3例 ( 2例行肾输尿管切除 ) ,减轻 6例 ,无变化1例 ,无复发及癌变者。 结论 对可疑非特异性输尿管炎患者应行手术探查和活检病理检查 。

Objective To improve the level of diagnosis and treatment of non-specific ureteritis. Methods The clinical data of 11 cases of non-specific ureteritis (6 men and 5 women) were retrospectively analyzed. Their mean age was 48 years (range,24～67 years).The lesions were detected in upper part of the ureter in 1 case,in middle part in 3,and in lower part in 7.All the lesions were unilateral strictured;of them unifocal strictures were found in 9 cases and multifocal strictures in 2.Open surgery was performed in 7 cases,biopsy and double J stent insertion in 4;of the 4 cases balloon dilation was performed in 1. Results Pathological findings confirmed the diagnosis of non-specific ureteritis.During follow-up of 6 months to 2.4 years (mean,1.6 years) for 10 cases,hydronephrosis was cured in 3 cases,alleviated in 6,unchanged in 1.Of these cases,2 underwent nephroureterectomy.No recurrence and canceration were found in the ureters of all cases. Conclusions Clinically,exploratory operation and biopsy are very important for suspected disorders of ureter before performing nephroureterectomy.