非特异性输尿管炎(附13例报道)

Non-specific Ureteritis(A Report of 13 Cases)

目的提高非特异性输尿管炎的诊断与治疗水平。方法回顾性分析13例非特异性输尿管炎的临床资料。其中病变位于输尿管上段1例,中段4例,下段8例,均为单侧,其中多发2例。开放治疗手术8例,行输尿管镜检查、活检并置入双J管5例,其中输尿管镜下气囊扩张治疗1例。结果病理检查均证实为粘膜上皮增生及典型慢性炎症。术后随访11例,随访时间为6个月～2.4年。肾积水消失6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。结论非特异性输尿管炎术前确诊较困难,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,切忌盲目行肾输尿管切除术。

Objective To improve the level of diagnosis and treatment of non-specific ureteritis. Methods The clinical data of 13 cases of non-specific ureteritis were retrospectively analyzed. The lesions were detected in upper part of the ureter in 1 ease,in middle part in 4,and in lower part in 8. All the lesions were unilateral strietured, of them unifocal strictures were found in 11 cases and multifocal strictures in 2. Open surgery was performed in 8 eases, biopsy and double J stent insertion in 5 ; of the 5 eases 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 for 11 eases,hydronephrosis was cured in 6 eases,alleviated in 6,unehaned in 1. Of-these cases 2 eases underwent nephroureterectoy. No recurrence and eaneeration were found in the ureters of all eases. Conclusion Making a definite diagnosis is difficult before operation. Clinically,exploratory operation and biopsy are very important for suspected disorders of ureter before performing uephroureterectomy.