肾盂肾盏憩室的诊治(附19例报告)

Diagnosis and treatment of pyelocalicial diverticula (Report of 19 cases)

目的 :提高肾盂肾盏憩室的诊断与治疗水平。方法 :回顾性分析 1985年 1月～ 2 0 0 0年 1月收治的19例肾盂肾盏憩室患者临床资料 ,其中非手术治疗 4例 ,误诊误治 4例 ,手术治疗 11例。结果 :19例患者随访 1年 ,4例非手术治疗者中 ,2例改行手术治疗 ,另 2例和误诊的 4例均在随访中。手术治疗者中 ,1例并发移行细胞癌者发生膀胱癌 ,其余均健在。结论 :对直径 <2 .5cm的肾盂肾盏憩室宜行保守治疗 ,并发结石及肿瘤或直径>2 .5cm肾盂肾盏憩室应以外科治疗为主 。

Objective:To improve the diagnosis and treatment of pyelocalicial diverticula.Methods:The records of 19 cases hospitalized during January 1985 to January 2000 were reviewed and analyzed. Among them: 4 cases were non-operation. 4 cases were made a mistaken diagnosis and treatment. 11 cases were operated on.Results:19 cases were paid a return visit for one year. 2 cases out of 4 cases that had non operation received operation after half year, the other 2 cases together with the 4 cases that were diagnosed and treated by mistaken are under follow up. 1 out of 11 cases who had operation suffered from bladder cancer within one year.Conclusions:Surgical treatment should be taken for patients with pyelocalicial diverticula when they are more than 2.5 cm in diameter and for patients complicated with milk of calcium and tumor. Patients with pyelocalicial diverticula less than 2.5 cm should be treated with non-operation. Injection of alcohol is not the choice of treatment for the peri-pyelocalicial cyst.