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目的 探讨输尿管息肉的诊断与治疗体会。方法 回顾性分析 2 2例输尿管息肉患者的临床资料 ,结合文献进行讨论。结果 2 2例共 2 4侧输尿管息肉患者中 ,2例行肾盂成形 ,7例行单纯息肉切除 ,7例行病变段输尿管切除加端端吻合 ,1例行输尿管下段及部分膀胱切除加输尿管膀胱重植 ,2例行病变段肾输尿管切除 ,3例行输尿管镜检加钬激光息肉电灼。全部病例均获治愈并经病理证实。结论 IVU (分泌性尿路造影 )加输尿管逆行造影检查可能对诊断输尿管息肉有帮助 ,其特征是边缘光滑锐利的充盈缺损。输尿管息肉的治疗以手术为主 ,应根据息肉的大小、数量、部位及肾脏受累程度选择单纯切除术、输尿管部分切除术和肾盂成形术等。输尿管镜检查与处理是诊断和治疗输尿管息肉的最好方法之一。
Objective To investigate the diagnosis and treatment of ureteral polyps. Methods The clinical data of 22 patients with ureteral polyps were retrospectively analyzed and discussed in the literature. Results Among 2 2 patients with 2 ureteral polyps, 2 patients underwent pyeloplasty, 7 patients underwent simple polypectomy, 7 patients underwent ureteral resection plus end-to-end anastomosis, 1 patient underwent ureter and partial cystectomy plus ureteral bladder Replantation, 2 cases of pathological changes of renal ureter, 3 cases of ureteroscopy plus holmium laser polyp electrocautery. All cases were cured and confirmed by pathology. Conclusions IVU (urinary tract contrast-enhanced urography) plus retrograde ureterography may be helpful in the diagnosis of ureteral polyps, which is characterized by a sharp-edged filling defect. Surgical treatment of ureteral polyps should be based on the size, number, location and extent of involvement of the polyp should choose simple resection, partial ureteropexy and pyeloplasty. Ureteroscopy and treatment is one of the best ways to diagnose and treat ureteral polyps.