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目的:探讨输尿管纤维性息肉的临床诊断及治疗方法。方法:回顾性分析总结7例输尿管纤维性息肉患者的临床资料,结合文献进行讨论。结果:7例共8侧输尿管纤维性息肉患者中,1例行病变节段输尿管切除加肾盂成形术,5例行病变段输尿管切除加端-端吻合术,1例行病变段输尿管、肾切除术。全部病例均获治愈并经病理证实。结论:IVU及逆行肾盂造影检查对诊断输尿管纤维性息肉有较大帮助,确诊依靠输尿管镜检查及活检。输尿管纤维性息肉的治疗以手术为主,应根据息肉的大小、数目、部位及肾脏受累程度选择息肉单纯切除术、输尿管部分切除术和肾盂成形术等。经输尿管镜息肉电切和电灼术是目前治疗本病的理想方法。
Objective: To investigate the clinical diagnosis and treatment of ureteral fibroids. Methods: A retrospective analysis of 7 cases of ureteral fibroids in patients with clinical data, combined with the literature to discuss. Results: Of the 8 patients with ureteral fibrosis, 8 patients underwent ureteral debridement and pyeloplasty in one patient, 5 patients underwent ureteral resection plus end-to-end anastomosis, and 1 patient underwent ureter and nephrectomy Surgery. All cases were cured and confirmed by pathology. Conclusion: IVU and retrograde pyelography are helpful to the diagnosis of fibroal polyps of ureter. The diagnosis depends on ureteroscopy and biopsy. The treatment of ureteral fibroids to surgery, polyps should be based on the size, number, location and degree of involvement of the polyp polyp resection, partial ureteropexy and pyeloplasty. The ureteroscopic polypectomy and electrocautery is the ideal method of treatment of the disease.