原发性输尿管息肉的诊断和治疗(附9例报告)

Diagnosis and treatment of primary fibroepithelial ureteral polyp (Report of 9 cases)

目的 :提高对原发性输尿管息肉的诊断和治疗水平。方法 :回顾性分析 9例原发性输尿管息肉的诊断方法和治疗原则。结果 :1例行肾切除加输尿管大部分切除术 ,8例行病变输尿管节段性切除术加肾盂成形术或输尿管再植术。术后 5例获随访 2～ 74个月 ,未见息肉复发及恶变。结论 :术前确诊依靠输尿管镜检查及活检 ,行病灶段输尿管局部切除术可以治愈 ,不必行肾输尿管切除术。

Purpose:To improve the diagnosis and treatment of primary fibroepithelial ureteral polyp.Method: The diagnosis and treatment of 9 cases of fibroepithelial ureteral polyp were reviewed retrospectively.Result: 1 case underwent nephroureterectomy, 8 cases local resection plus pyeloplasty or ureterovesical replantation. 5 cases had been followed up for 2～74 months with no recurrence or canceration.Conclusion: The final diagnosis depends on ureteroscopy and biopsy, local resection is the treatment of choice, nephroureterectomy can be avoided by such endoscopic procedures.