成人输尿管囊肿11例报告

Ureteroceles in Adults (Report of 11 Cases)

目的：总结成人输尿管囊肿的诊治经验。方法：对住院手术治疗的１１ 例本病患者临床资料进行分析。结果：均经 Ｂ超、 Ｉ Ｖ Ｕ 及膀胱镜检查确诊。开放手术２ 例，经尿道输尿管囊肿电切开术９ 例。１０ 例获术后随访，疗效确切。结论：对囊肿直径≤３．０ ｃｍ 者宜行经尿道电切开术，而对直径＞３．０ ｃｍ 及合并严重的重复肾重复输尿管畸形者应采用开放性手术，并行输尿管再植抗反流。

Purpose:To sum up the experience of diagnosis and treatment of adult ureterocele.Methods:Transvesical ureterocele excisions and ureter reimplantations or transurethral incisions of ureteroceles (TUIU) were carried out for 11 adult patients with single system ureteroceles from 1983 to 1998 in this hospital.Results:These patients have been followed up for a mean of 8 years.Secondary large haemorrhage occured in 1 case after TUIU.No postoperative reflux,ureteral stricture or relapsing ureterocele were found.The etiology,diagnosis and treatment indication of ureterocele were discussed in details.Conclusion:Those with a diameter of ≤3 cm should be incised by endoscopic route,whereas those with a diameter of >3 cm should be treated by transvesical excision and reimplantation in avoidance of postoperative vesicoureteral reflux.