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目的:探讨输尿管息肉的临床特点与诊治方法。方法:回顾性分析1995～2010年天津医科大学第二医院的40例输尿管息肉患者的资料,并结合文献对之诊断治疗行进一步探讨。结果:患者年龄18～76岁,平均35.5岁,多因患侧腰腹部不同程度的胀痛不适入院。40例共48侧输尿管息肉患者中,6例行肾盂输尿管成形;26例行息肉切除,其中15例加端端吻合;4例行输尿管下段切除加输尿管膀胱再植;4例行病变段肾输尿管切除。术后病例均获治愈并经病理证实。结论:输尿管息肉缺乏特异性的临床表现,确诊和鉴别诊断依靠病理活检,基本的治疗方法有输尿管部分切除断端吻合术,腔内手术治疗有着很好的应用前景。
Objective: To investigate the clinical features and diagnosis and treatment of ureteral polyps. Methods: The data of 40 patients with ureteral polyps from the Second Hospital of Tianjin Medical University from 1995 to 2010 were retrospectively analyzed. Further discussion on the diagnosis and treatment was made based on the literature. Results: Patients aged 18 to 76 years old, average 35.5 years old, mostly due to varying degrees of pain in the affected side of the abdomen and abdominal pain hospitalization. Of 40 patients with ureteral polyps in 48 sides, 6 cases underwent pyeloplasty; 26 cases underwent polyp resection, 15 cases were end-to-end anastomosis; 4 cases underwent resection of ureter with ureteral bladder; 4 cases were performed renal ureter resection. Postoperative patients were cured and confirmed by pathology. Conclusion: The ureteral polyps lack of specific clinical manifestations, diagnosis and differential diagnosis rely on biopsy, the basic treatment of partial ureteral resection anastomosis, endovascular surgery has a very good prospect.