输尿管息肉8例报告

Fibrous Polyps of the Ureter Report of 8 Cases

目的 对输尿管息肉的病因、分类、诊断及治疗进行探讨。方法 IVU ,RGP是诊断输尿管息肉的重要方法 ,本病应与输尿管癌、阴性结石及血凝块相鉴别 ;根据息肉部位、大小及肾脏受累程度选择局部切除术、电灼术、输尿管部分切除术和输尿管膀胱吻合术等。结果 8例术后症状全部消失。结论 输尿管肾镜检查与处理是诊断和治疗输尿管息肉的最好方法 ,术中快速冰冻活检对于术式的选择很有必要 ,RGP能避免伴有结石的输尿管息肉的漏诊。

Objective To explore the etiology, classification, differential, diagnosis and treatment of ureteric polyps.Method Intravenous urography(IVU)and retrograde pyelography(RGP)are important methods for diagnosing ureteric polyps. This entity must be differentiated from ureteric cancer, negative lithiasis and clot. The modes of treatment contain local excision, electrosection, segmental ureterectomy and ureterovesicostomy. Result All symptoms of 8 cases disappeared after operation. Conclusion We conclude that ureterorenoscopy is the best method for the diagnosis and treatment of ureteric polyps, and frozen-section pathologic analysis in the initial operation is essential. RGP can avoid the misdiagnosisof the entity.