成人输尿管囊肿的诊疗分析(附3例报告并文献复习)
A Study of Diagnosis and Treatment of Adult Ureter Cyst (Report of 3 Cases and Literature Review)
DOI: 10.12677/ACRS.2015.42002, PDF, HTML, XML, 下载: 2,465  浏览: 7,116 
作者: 延敏博, 孙华宾, 郭振宇:中山大学附属第五医院,泌尿外科,广东 珠海;路 静:中山大学附属第五医院,消化内科,广东 珠海;刘 燕:中山大学附属第五医院,特诊科,广东 珠海
关键词: 输尿管囊肿成人经尿道电切Ureter Cyst Adult Transurethral Resection
摘要: 目的:复习成人输尿管囊肿的诊疗原则,提高对成人输尿管囊肿的认识。方法:回顾性分析3例成人输尿管囊肿的临床表现、影像学检查及治疗方法,并结合文献复习。结果:本文3例患者有2例无明显临床症状,依靠超声、IVU和膀胱镜检查明确诊断,均行经尿道输尿管口囊肿电切术,术后随访至今无复发。结论:成人输尿管囊肿临床表现缺乏特异性,主要依靠影像学和膀胱镜检查确诊,治疗上方法众多,经尿道输尿管口囊肿电切术是目前治疗的首选。
Abstract: Objective: To review the principle of diagnosis and treatment of adult ureter cyst and improve the understanding of the disease. Methods: Clinical data of 3 cases of adult ureter cyst were retrospec-tively analyzed, including clinical symptom, image examinations and the treatment, and this dis-ease was reviewed based on literatures. Results: There were 2 patients without obvious clinical symptom of the 3 patients which were diagnosed by ultrasonography, IVU and cystoscope. They were performed transurethral resection of ureter cyst. There is no recurrence after operation till now and. Conclusion: This disease is lack of special clinical symptom; image examination and cys-toscope are helpful to the diagnosis of the disease. Although there are many treatment methods, transurethral resection of ureter cyst is the first remedial choice.
文章引用:延敏博, 路静, 刘燕, 孙华宾, 郭振宇. 成人输尿管囊肿的诊疗分析(附3例报告并文献复习)[J]. 亚洲外科手术病例研究, 2015, 4(2): 7-10. http://dx.doi.org/10.12677/ACRS.2015.42002

参考文献

[1] Francois, O., Tailly, G. and Degryse, H. (2004) Ureterocele in duplicated ureteral tract. JBR-BTR, 87, 134-135.
[2] Ziylan, O., Oktar, T., Korgali, E., Nane, I., Alp, T. and Ander, H. (2005) Lower urinary tract recon-struction in ectopic ureteroceles. Urologia Internationalis, 74, 123-126.
http://dx.doi.org/10.1159/000083282
[3] 姜涛, 郭玉芬, 宋希双, 等 (2004) 输尿管囊肿28例报告. 中国内镜杂志, 2, 29-30.
[4] Madeb, R., Shapiro, I., Rothschild, E., Halachmi, S. and Nativ, O. (2000) Evaluation of ureterocele with Doppler sonography. Journal of Clinical Ultrasound, 28, 425-429.
http://dx.doi.org/10.1002/1097-0096(200010)28:8<425::AID-JCU8>3.0.CO;2-N
[5] Berrocal, T., López-Pereira, P., Arjonilla, A. and Gutiérrez, J. (2002) Anomalies of the distal ureter, bladder, and urethra in children: Embryologic, radiologic, and pathologic features. RadioGraphics, 22, 1139-1164.
http://dx.doi.org/10.1148/radiographics.22.5.g02se101139
[6] Ben Meir, D., Silva, C.J., Rao, P., Chiang, D. and Dewan, P.A. (2004) Does the endoscopic technique of ureterocele incision matter. The Journal of Urology, 172, 684-686.
http://dx.doi.org/10.1097/01.ju.0000129228.92805.31
[7] 司徒杰, 周祥福, 湛海伦, 等 (2009) 经尿道腔镜下囊肿内切开术治疗单纯输尿管囊肿. 中华腔镜泌尿外科杂志: 电子版, 3, 249-252.
[8] 刘树声, 吴永吉, 李静, 等 (2007) 经尿道输尿管囊肿电切术22例报告. 临床泌尿外科杂志, 22, 383-384.
[9] Marr, L. and Skoog, S.J. (2002) Laser incision of ureterocele in the pediatric patient. The Journal of Urology, 167, 280-282.
http://dx.doi.org/10.1016/S0022-5347(05)65449-3
[10] 杜永年, 刘福贵, 杜宇阳, 等 (2006) 经尿道裁剪术治疗输尿管囊肿12例报告. 中华泌尿外科杂志, 4, 249.
[11] 高健刚, 夏溟, 李汉忠, 等 (2006) 输尿管口囊肿的微创手术治疗. 中华泌尿外科杂志, 4, 269-271.