成人先天性巨输尿管症(附12例报告)

Congenital megaureter in adults(Report of 12 cases)

目的 :探讨成人先天性巨输尿管症的病因、病理、诊断及治疗。方法 :对 12例成人先天性巨输尿管症患者的临床资料进行分析总结。结果 :12例 14侧成人先天性巨输尿管 ,其中左侧 8例 ,右侧 2例 ,双侧 2例。 9例行输尿管裁剪成形和再植术 ;1例行肾输尿管切除术 ;2例保守治疗 ,定期复查随访。取得较好效果。结论 :引起成人先天性巨输尿管症原因少数是单一的 ,多数常常与几种因素有关。

Purpose:To explore the cause,pathology,diagnosis and treatment of congenital megaureter in adults. Method:The clinical data of 12 cases of congenital megaureter in adults were reviewed. Results:9 of 12 cases with megaureter were treated by reimplantation with politano leadbetter technique.1 of 12 cases was treated by total renoureterectomy.2 of 12 cases received regular checkups.Conclusions:The causes of congenital megaureter in adults are seldom single.Most of them are related to varying factors.Different treatment devices were taken according to different condition.