经尿道手术治疗输尿管膨出(附15例报告)

Transurethral endoscopic management of ureterocele(report of 15 cases)

目的 探讨输尿管膨出患者行经尿道手术的治疗经验。 方法 对 15例输尿管膨出患者采用经尿道手术治疗的资料进行总结。 结果 15例均经IVU、B超、膀胱镜检查确诊 ,6例行经尿道囊肿低位横行切开术 ,4例积水消失 ,2例积水改善 ;9例行输尿管膨出囊壁部分切除术 ,积水全部消失。 结论 输尿管膨出行经尿道手术治疗是一种简单而有效的治疗方法 ,经尿道囊壁部分切除术效果更为理想。

Objective To evaluate transurethral endosco pic management of 15 cases of ureterocele encountered between 1990 and 2000. Methods All the medical documents were reviewed and analyse d. Results The diagnosis of all the cases was establishe d on IVU,ultrasonography and endoscopy.Transurethral incision of ureterocele was undertaken for 6 cases,and transurethral unroofing for 9.All the patients have been followed up for 6～36 months with the hydronephrosis abated.No vesicoureter al reflux has been noted. Conclusions Transurethral inte rvention of ureterocele is simple and effective rendering minimal trauma to the patients.Transurethral unroofing is an effective means to treat ureterocele.