输尿管开口异位的外科治疗体会（附51例报告）

吴新华; 韩晓敏; 石明; 陈敏

输尿管开口异位的外科治疗体会（附51例报告）

- 华中科技大学同济医学院附属协和医院(武汉, 430022)

详细信息

通讯作者: 韩晓敏,E-mail:hanhanmin@126.com

中图分类号: R693

收稿日期: 2012-09-11

Surgical strategy for ectopic ureteral orifice (Report of 51 cases)

- Department o f Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

More Information

Corresponding author: HAN Xiaomin, E-mail: hanhanmin@126.com

Received Date: 11 September 2012

摘要

摘要: 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。
- 输尿管开口异位 /
- 手术治疗
Abstract: Objective: To summarized the diagnosis and surgical therapy of ectopic ureteral orifice and improve the efficacy of the disease.Method: Several surgical methods and follow-up results of 51 cases with ectopic ureteral orifice were analyzed retrospectively and discussed from may 1997 to june 2012 in our hospital.Result: The surgical treatment included ureteric reimplantation (UTR) in 33 patients, nephroureterectomy (NUT) for nonfunctioning kidney in 3 patients, heminephroureterectomy (HNUT) for non functioning upper pole of duplex kidney with EU in 7 patients and ureterocele incised endoscopically in 8 patients. The 35 patients have been followed up from 6 months to 8 years. Only 1 patient is still dribbling urine but is better than preoperation, recurrent urinary tract infection in one patient and ultrasonography showed kidney hydronephrosis improved in 16 cases with ureterovesicle reimplantation.Conclusion: Ectopic ureteral orifice are often complicated with urinary tract malformations, such as duplex kidney, ectopic kidney and ureterocele. To clarify the site of the ectopic orifice and the function of abnormal renal preoperation were the key in selecting the surgical methods of ectopic ureters.
- ectopic ureteral orifice /
- surgical therapy

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参考文献(5)

[1]	吴志平, 赵晓昆, 钟朝晖, 等. 输尿管异位开口合并肾发育畸形的诊治分析[J]. 中国现代医学杂志, 2009, 19(4):575-577.
[2]	陈敏, 鲁功成. 利尿B超在诊断重复肾双输尿管合并输尿管开口异位中的应用[J]. 中华超声影像学杂志, 1996, 5(4):168-170.
[3]	秦正旺, 陈万忠, 李文军, 等. 螺旋CT增强扫描对异位输尿管口的定位诊断价值[J]. 临床泌尿外科杂志, 2003, 18(4):226-227.
[4]	Johnin K, Narita M, Kim C J, et al. Bilateral single ectopic ureters with hypoplastic bladder:how should we treat these challenging entities[J]? J Pediatr Urol, 2007, 3:243-246.
[5]	Gu B, Wang X, Xu Y. Long-term outcome of duplex kidney with ectopic ureter treated by antireflux ureterocystic reimplantation[J]. Urol Int, 2012, 88:438-440.