肾盏憩室的外科诊治(附35例报告)

Diagnosis and treatment of calyceal diverticula (Report of 35 cases)

目的 :探讨肾盏憩室的外科诊断及治疗选择。方法 :回顾性分析 35例肾盏憩室患者的临床资料 ,其中保守治疗 11例 ,体外冲击波碎石术 (ESWL)治疗 9例 ,手术治疗 15例。结果 :2 9例获得 11～ 2 6个月随访 ,9例ESWL治疗者 3例有效 ,15例手术治疗者中有 1例憩室结石复发。结论 :诊断主要依靠X线检查。症状无或轻微者可保守治疗 ;若并发结石且症状明显或反复发作 ,憩室直径 <1.5cm、拒绝手术者行ESWL ;憩室直径 >2 .

Purpose:To explore the clinical diagnosis and treatment of calyceal diverticula. Methods:The records of 35 patients with calyceal diverticula from October 1994 to November 2002 were retrospectively analyzed.Among them:11 cases were treated conservatively,9 cases were treated with ESWL,15 cases were operated on. Results:Twenty nine cases have been followed for 11-26 months, 3 cases out of 9 treated with ESWL were effective,1 case out of 15 treated with operation recurred. Conclusions:The diagnosis depends on X ray examination chiefly.Patients of non symptom or gentle symptom can be treated conservatively; patients with patent or repeatedly symptoms and calyceal diverticula complicated with stones or less than 1.5 cm in diameter can be treated with ESWL, the ones with calyceal diverticula more than 2.5 cm in diameter or diverticula orifice closed in estimation should be taken with operation.