先天性巨输尿管症12例临床分析

Diagnosis and treatment of congenital megaureter (report 12 cases)

目的探讨手术治疗先天性巨输尿管症的时机和有效性。方法总结该病12例。其中男7例,女5例;儿童4例,成人8例;左侧4例,右侧5例,双侧3例;输尿管剪裁整形再植术8例,肾输尿管全切术4例。结果全部患者随访3个月～2年,病情稳定。2例患儿术后发育正常,健肾代偿性增大;8例输尿管剪裁整形再植术者,症状消失或显著改善,经B超及IVU复查,术侧肾、输尿管积水有不同程度的减轻,肾功能显著改善。结论儿童患者应尽早手术治疗,成人患者可根据病变情况采用保守或手术治疗。

[Objective] To study the timing and eflScacy of surgical treatment for congenital megaureter. [Methods] From May 1999 to April 2005, 12 patients with congenital megaureter were treated. Among them, 7 cases are male and 5 cases female, 4 cases children and 8 cases adults, left side 4 cases, right side 5 cases and bilateral 3 cases. Surgical route was adopted in 12 patients, in which 8 cases under,vent ureteroplasty reimplantation; 4 cases nephroureterectomy. [Results] All 12 petients were followed- up from 6 months to 2 years. 4 children had anormal growth. There were enlargement in their remained healthy kidneys. They were found that the hydronephrosis and hydroureter of the operated side of the patients had reduced and the symptoms of the patients had reduced and the symptoms of the patients relieved. There were no significant change on the none-operated side. [Conclusions] The children patients should receive surgical treatment earlier. The adult patients can receive surgical treatment if nesessary.