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目的：探讨手术治疗先天性巨输尿管症的时机和有效性。方法：总结本病１０ 例，其中男６ 例，女４ 例；儿童４ 例，成人６ 例；左侧４ 例，右侧２ 例，双侧４ 例。保守治疗１ 例；手术治疗９ 例，包括输尿管剪裁整形再植术 ５ 例，肾输尿管全切术４ 例。结果：９ 例获随访 ３ 个月～６ 年。４ 例患儿发育正常，健肾代偿性增大。双侧者术侧肾、输尿管积水减轻，症状明显缓解，保守侧无显著变化。结论：儿童患者应尽早手术治疗，成人患者可根据病变情况采用保守或手术治疗。
Objective: To explore the timing and effectiveness of surgical treatment of giant ureteral diseases. Methods: To summarize the 10 cases of this disease, including 6 males and 4 females; 4 children and 6 adults; 4 on the left, 2 on the right and 4 on both sides. Conservative treatment in 1 case; Surgical treatment in 9 cases, including ureteric plastic surgery in 5 cases, 4 cases of radical ureter. Results: Nine patients were followed up for 3 months to 6 years. 4 cases of normal development of children, kidney compensatory increase. Both sides of the operation side of the kidney, ureteral hydronephrosis alleviate the symptoms were relieved, no significant changes in the conservative side. Conclusion: Pediatric patients should be treated as soon as possible. Adult patients may be treated conservatively or surgically according to the disease.