输尿管局限性淀粉样变3例分析并文献复习

目的探讨输尿管局限性淀粉样变的诊断和治疗方法。方法总结3例输尿管局部淀粉样变患者资料。男1例,女2例;年龄分别为57、58、68岁。3例患者均有血尿,病变位于输尿管中下段2例,输尿管广泛病变1例。3例CT均显示输尿管病变,2例疑为输尿管肿瘤,1例疑为输尿管结石,均行手术切除治疗。并结合文献加以总结。结果3例术后病理报告均证实为输尿管淀粉样变,术后5个月随访,血尿消失,2例肾积水减轻。结论输尿管淀粉样变临床表现及影像学变化类似输尿管肿瘤,病变输尿管切除治疗效果较好。

Amyloidosis of the Unilateral Renal Pelvis,Ureter and Urinary Bladder:a Case Report

AMYLOIDOSIS of more than two urinary organs happened in one person is very rare.Here we reported a patient with amyloidosis of the left renal pelvis, ipsilateral ureter as well as urinary bladder occurring successively.