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目的:总结输尿管开口异位的诊断方法和外科治疗经验,提高对该病的诊疗水平。方法:回顾性分析1997年5月～2012年6月就诊的输尿管开口异位患者51例临床资料,对各种手术方法以及术后情况进行比较讨论。结果:行输尿管膀胱再植术33例,肾输尿管切除术3例,上半重复肾肾输尿管切除术7例,异位输尿管囊肿切除术8例。术后获得随访患者35例,随访时间0.5～8年。仅1例患者仍有尿失禁,但程度较术前明显减轻。1例患者仍有泌尿系感染发作(每年1～2次),16例输尿管再植患者复查B超患肾积水较术前减轻。结论:输尿管开口异位多合并有重复集合系统、异位肾脏发育不良、输尿管末端囊肿等上尿路畸形,术前需明确输尿管异位开口部位和相应肾脏功能,据此制定合适的手术治疗方案。
OBJECTIVE: To summarize the diagnostic methods of ureteral open ectopic and the experience of surgical treatment to improve the diagnosis and treatment of the disease. Methods: The clinical data of 51 patients with ureteral open ectopic patients who were treated from May 1997 to June 2012 were retrospectively analyzed. Various surgical methods and postoperative conditions were compared and discussed. Results: 33 cases underwent ureteral bladder replantation, 3 cases underwent nephroureterectomy, 7 cases underwent ureteropelvic excision in the upper half and 8 cases underwent ectopic ureter cyst excision. 35 cases were followed up after surgery, follow-up time 0.5 to 8 years. Only 1 patient still had urinary incontinence, but the degree was significantly reduced compared with preoperative. One patient still had an episode of urinary tract infection (once or twice a year). In 16 patients who underwent ureteral replantation, their B-hydronephrosis was relieved compared with that before operation. Conclusion: Ectopic ureter combined with repeated collection system, ectopic renal dysplasia, ureter end cysts and other upper urinary tract malformations, preoperative ureteric ectopic opening position and the corresponding renal function, according to the development of appropriate surgical treatment options .