输尿管局限性淀粉样变3例分析并文献复习

Literature review and analysis of 3 cases of localized amyloidosis of the ureter

目的探讨输尿管局限性淀粉样变的诊断和治疗方法。方法总结3例输尿管局部淀粉样变患者资料。男1例,女2例;年龄分别为57、58、68岁。3例患者均有血尿,病变位于输尿管中下段2例,输尿管广泛病变1例。3例CT均显示输尿管病变,2例疑为输尿管肿瘤,1例疑为输尿管结石,均行手术切除治疗。并结合文献加以总结。结果3例术后病理报告均证实为输尿管淀粉样变,术后5个月随访,血尿消失,2例肾积水减轻。结论输尿管淀粉样变临床表现及影像学变化类似输尿管肿瘤,病变输尿管切除治疗效果较好。

Objective To evaluate the diagnosis and treatment of primary localized amyloidosis of the ureter. Methods Data of three patients with localized amyloidosis of the ureter were summarized,including 1 man and 2 women with the age of 57,58,68 years old respectively. All the three patients had blood in the urine, the lesions were detected in lower and middle part of the ureter in 2 cases, and in most part in 1 case. CT in all cases showed ureteral disease with 2 cases of suspected ureteral tumor and 1 case of suspected calculus,surgical resection of ureter wel~ performed in all patients. The summary was conducted com- bined with literature reviews. Results Pathological reports of the three cases were all proved to be amyloidosis of the ureter. After 5-month postoperative follow-up,hematuresis disappeared and the hydronephrosis in two cases decreased. Conclusion The lo- calized amyloidosis of the ureter has the same clinical manifestations and imaging as ureteral neoplasms. Ureterectomy in lesions has good results.