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目的评价输尿管口囊肿的微创手术治疗方法及其疗效。方法回顾性分析25例行经尿道电切(TURU)手术治疗输尿管口囊肿患者资料。男9例,女16例;年龄18~61岁,平均38岁;单侧18例,双侧7例;单纯输尿管囊肿22例,异位输尿管囊肿3例。结果25例患者手术一次成功22例,手术平均时间15 m in,术后平均住院3 d。术后定期B超、膀胱造影随诊,随诊时间1~9年,3例异位输尿管囊肿合并重复肾、输尿管畸形患者存在术后膀胱输尿管返流,2例再次行开放手术后痊愈。结论TURU是治疗成人输尿管口囊肿的有效方法;当合并存在重复肾输尿管畸形或术后膀胱输尿管返流时,应采用输尿管膀胱抗返流手术。
Objective To evaluate the minimally invasive surgical treatment of ureteral orifice cyst and its curative effect. Methods A retrospective analysis of 25 cases of transurethral resection of the urethra (TURU) surgical treatment of ureteral orifice cyst patients. 9 males and 16 females; aged 18 to 61 years old, average 38 years old; unilateral 18 cases, bilateral in 7 cases; simple ureteral cysts in 22 cases, 3 cases of ectopic ureteral cysts. Results Twenty-five patients had successful operation in one time. The average operation time was 15 mm and the average postoperative hospital stay was 3 days. B-ultrasound and bladder imaging were followed up for 1-9 years. Three cases of ectopic ureterocyst combined with repeated renal and ureteral deformity had vesicoureteral reflux and two cases were cured again after open surgery. Conclusion TURU is an effective method for the treatment of ureteral orifice cysts in adults. Ureteral cystral anti-reflux surgery should be used when there is duplication of renal ureter malformations or postoperative vesicoureteral reflux.