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目的探讨经尿道输尿管囊壁部分切除术治疗成人输尿管口囊肿的治疗经验。方法回顾性分析11例成人输尿管口囊肿的临床资料。所有患者均采用B超、排泄性静脉尿路造影(IVU)及膀胱镜检查确诊,采用经尿道输尿管囊壁部分切除术治疗。结果11例患者手术治疗痊愈出院,术后临床症状均消失。随访6~24个月,9例肾积水消失,2例肾积水明显改善,未见复发。结论膀胱镜检查是诊断输尿管囊肿的确切手段;经尿道输尿管囊肿壁部分切除术是一种简便、安全和行之有效的治疗手段。
Objective To investigate the experience of transurethral ureteral wall partial resection in the treatment of adult ureterocele. Methods The clinical data of 11 cases of ureterocele were retrospectively analyzed. All patients were diagnosed by B-ultrasound, venous urinary catheterization (IVU) and cystoscopy, and partial transurethral ureteral wall resection was used. Results All the 11 patients were cured and discharged, and the clinical symptoms disappeared after operation. Follow-up 6 to 24 months, 9 cases of hydronephrosis disappeared, 2 cases of hydronephrosis was significantly improved, no recurrence. Conclusions Cystoscopy is the best way to diagnose ureterocele. Partial transurethral resection of ureteric cyst is a simple, safe and effective method of treatment.