非结石性输尿管下段梗阻临床分析(附126例报告)

Clinical analysis of lower ureteral none-ureterolithiasis obstruction ( report of 126 cases)

目的:探讨非结石性输尿管下段梗阻的病因,提高对输尿管非结石性梗阻的诊断及治疗水平。方法:回顾性分析我院2004年1月￣2007年6月126例非结石性输尿管下段梗阻患者的临床资料。结果:先天性疾病25例(20%),膀胱、前列腺疾病23例(18%),损伤性输尿管狭窄19例(15%),肿瘤性疾病12例(10%),炎症性疾病9例(7%),输尿管结核9例(7%),输尿管息肉7例(6%),其他疾病22例(18%);术前诊断主要依靠KUB,B超,静脉肾盂输尿管造影,输尿管逆行肾盂造影,CT及MRU、膀胱镜等检查;123例患者行开放手术治疗。结论:非结石性输尿管下段梗阻的病因主要为先天性疾病,膀胱、前列腺疾病,损伤,炎症,肿瘤等,通过病史及恰当的检查对术前定位、定性诊断有重要价值,多数患者需行开放手术治疗。

Objective： To investigate the etiology of lower ureteral none-ureterolithiasis obstruction and improve its diagnositic and treated level. Methods： Clinical data of 126 cases of lower ureteral none-ureterolithiasis obstruction in the first affiliated hospital of Xin Xiang Medical College from Jan 2004 to Jun 2007 were analysed. Results：20% of the 126 cases were congenital diseases ,18% were prostatic or bladder diseases, 15% were traumatic ureteral strictures, 10% were tumors, 7% were inflammations,7% were ureteral tuberculosis , 6% were ureteral polypi,and 18% were others. Preoperative diagnosis was depended on KUB,ultrasound, intravenouspyelography,retrogradepyelography,CT, MRI （U） and cystoscopy. 123 cases were treated with open operations. Conclusion：Congenital diseases, bladder and prostate diseases, injury diseases, inflammation and tumor are the main causes of lower ureteral none-ureterolithiasis obstruction. Chosing proper examination are useful in the preoperative positioning and diagnosis of lower ureteral none-ureterolithiasis obstruction.most of the cases need suraical ooen ooerations.