成人输尿管口囊肿合并结石的诊治

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摘要目的评价成人输尿管口囊肿合并结石的手术治疗方法及其效果。方法回顾性分析北京积水潭医院2010年1月~2016年1月收治的10例成人输尿管口囊肿合并结石患者病例资料。均采用经尿道输尿管口囊肿电切联合囊内结石碎石术治疗。其中，男8例，女2例；年龄为22～50岁，平均40岁；单侧8例，双侧2例。其中6例患者行输尿管口囊肿低位开窗去顶+超声碎石取石术；另外4例行输尿管口囊肿低位切开+输尿管镜碎石术。结果本组患者的手术均一次成功，手术平均时间为30 min，术后平均住院时间为3 d。患者术后每3个月复查尿常规、B超和膀胱造影，每年复查泌尿系CT和膀胱镜。5例术前有症状者，于术后2周症状消失；有肾积水者，术后3个月复查积水均较前明显减轻，并且膀胱造影均未见膀胱输尿管反流。结论经尿道输尿管口囊肿电切联合囊内结石碎石术是治疗成人输尿管口囊肿合并结石的有效方法。

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	翟建坡刘宁王海何峰黄广林满立波▲

关键词 ：输尿管口囊肿, 结石, 诊断, 治疗

Abstract：Objective To evaluate the efficacy of surgical treatment for the ureterocele complicated with stone in adults. Methods The clinical data of 10 ureterocele patients complicated with stone, that were admitted in Beijing Jishuitan Hospital from January 2010 to January 2016, were retrospective analyzed. There were 8 males and 2 females in the study. The patient age ranged from 22 to 50 years old and the mean age was 40 years old. 8 cases were unilateral ureterocele and 2 patient was bilateral. 6 patients received transurethral resection of ureterocele and endoscopic stone removal with nephroscope. The other 4 patients received transurethral incision of ureterocele and endoscopic stone removal with urteroscope. Results The operations were successful in this group of patients. The mean operation time was 30 minutes. The average postoperative hospital stay was 3 days. Patients were followed-up regularly, urine test, B ultrasound and cystography were done every three months. Urinary CT and cystoscopy were performed each year. Preoperative symptoms that of complained by 5 patients disappeared 2 weeks after the operation. There hydronephrosis were significantly reduced 3 months after the operation, with no vesicoureteral reflux shown by the cystography. Conclusion Transurethral resection or incision of ureterocele and endoscopic stone removal are an effective procedure for the treatment of ureterocele complicated with stone in adults．

Key words： Ureterocele Stone Diagnosis Treatment

基金资助:首都卫生发展科研专项（首发2014-4-2072）。

通讯作者: ▲通讯作者

引用本文:

翟建坡刘宁王海何峰黄广林满立波▲. 成人输尿管口囊肿合并结石的诊治[J]. 中国医药导报, 2017, 14(15): 83-85.
ZHAI Jianpo LIU Ning WANG Hai HE Feng HUANG Guanglin MAN Libo▲. Evaluation of surgical treatment of ureterocele complicated with stone in adult. 中国医药导报, 2017, 14(15): 83-85.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2017/V14/I15/83

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