摘要
目的观察内窥镜手术治疗膀胱内型输尿管膨出的治疗效果。方法回顾性分析20例膀胱内型输尿管膨出患者采用内窥镜手术治疗的临床资料。结果20例患者均经B超,IVU及膀胱镜检查明确诊断,3例存在单侧性重复肾输尿管畸形,其中1例术后反复出现泌尿系感染症状,后行上肾上输尿管切除术治愈,另2例经腔内手术后肾积水减轻;17例为单纯型输尿管膨出,腔内手术后3例存在输尿管反流(1例术前已存在反流),1例术后反流自行缓解,另2例实施抗反流开放手术,肾积水减轻,反流消失,另外14例患者均经1次腔内手术治疗成功。结论内窥镜手术治疗膀胱内型输尿管膨出是一种安全,简单,有效的方法,对于存在巨大囊肿(直径≥4cm),术前已有反流,肾积水严重,肾皮质明显萎缩的膀胱内型输尿管膨出患者,内窥镜手术的治疗受到限制。
Objective To evaluate the clinical efficacy of transurethral endoscopic management of 20 ease of intravesical ureterecele in the adult. Methods Clinical data 20 case of intravesical ureterocele treated by endoscopy from 1995 to 2005 were analyzed retrospectively. Results The diagnosis of all case were confirmed by ultrasonography, IVU and cystoscopy preoperatively. Transurethral incision of ureterocele was undertaken in 12 cases, and Transurethral unroofing in the others 8 eases. Three patients were noted having vesicoureteral reflux after endoscopic operation and two patients received excision of the ureterocele with reimplantation of ureter. Total resection of the upper renal segment and ureter was performed in a case after endoscopic management. Conclusions Transurethral endoscopic management of iutravesical ureterocele is simple and effective with minimal trauma. Endoacopic management is limited in case with large ureterocele, severe hydronephrosis, vesicoureteral reflux.
出处
《海南医学》
CAS
2006年第1期36-38,共3页
Hainan Medical Journal
