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目的:探讨巨大输尿管纤维息肉的临床特征及诊治方法。方法:回顾性分析1例巨大输尿管纤维息肉的临床病理资料,并复习有关文献就输尿管纤维息肉的临床特征进行讨论。结果:通过影像学检查及输尿管镜活检确诊为输尿管纤维息肉,行左输尿管部分切除、输尿管端端吻合术,随防2年未见复发。结论:输尿管纤维息肉临床罕见,影像学资料,尤其是CTU、三维成像尿路重建(3D-MSCT)几乎对所有的患者均可提供逼真的“解剖”图像而得到确诊,输尿管镜活组织病理学检查具有决定性意义。治疗上,巨大输尿管纤维息肉可通过开放手术或后腹腔镜切除肿物而治愈,疗效较好。
Objective: To investigate the clinical features, diagnosis and treatment of huge ureteral fibroids. Methods: A retrospective analysis of 1 case of giant ureter fibroalcosis clinical and pathological data, and review the literature on the clinical characteristics of ureteral fibroalgia are discussed. Results: Through the imaging examination and ureteroscopy biopsy diagnosed as ureteral fibroids, the line of left ureteral resection, ureteral end anastomosis, with no recurrence of 2 years. Conclusions: Ureteral fibroids are rare in clinic. Imaging data, especially CTU and 3D-MSCT, can provide realistic “anatomical” images in almost all patients and are confirmed. Ureteroscopic living tissue Pathological examination is of decisive significance. Treatment, the huge ureteral fibroids can be cured by open surgery or laparoscopic resection of the tumor, the effect is better.