输尿管口囊肿的诊断与治疗

Clinical diagnosis and treatment on cyst of ureteral orifice

目的探讨输尿管口囊肿的诊断与治疗方法.方法对12例输尿管口囊肿患者的临床资料进行分析.结果12例经B超、静脉尿路造影(IVU)、膀胱镜检查得以确诊.5例行经尿道囊肿切开或部分切除术;5例行囊肿切除加输尿管膀胱再植术;2例行上肾段及输尿管切除术.术后随访1～15年,12例临床症状均消失,经B超或IVU检查肾积水明显减轻或消失.7例行膀胱造影,未见输尿管返流.结论输尿管口囊肿的诊断主要依靠B超、IVU和膀胱镜检查.治疗上应根据囊肿大小和肾功能情况选择不同的术式.

Objective To investigate the diagnosis and treatment of ureteral orifice＇s cyst. Methods The clinical data of 12 patients with cyst of ureteral orifice were analysed. Results The diagnosis of all cases was established on ultrasonography, intravenous urography（IVU） and cystoscopy. Transurethral cystic incision or unroofing was performed on 5 cases. 5 cases underwent excision of cyst and reimplantation of ureter. 2 cases received upper pole partial nephroureterectomy.After operation, all patients had been followed up for 1-15 years. Clinical symptoms disappeared in all cases. Hydronephrosis reduced significantly or disappeared by ultrasonography or IVU. 7 cases underwent cystography and no vesicoureteral reflux was found in all cases. Conclusions The diagnosis of ureteral orifice＇s cyst mainly depends on ultrasonography, IVU and cystoscopy. In treatment, the different operative ways should be chosen according to the size of cyst and renal function.