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为提高对成人输尿管囊肿的诊断和治疗水平,报道14年来收治的12例患者临床资料。12例中,男5例,女7例,年龄20~47岁,平均34岁。行输尿管囊肿切除术7例(其中2例行输尿管囊肿开口成形术),行经尿道输尿管囊肿电切术5例。随访1~12年,患者症状消失,复查IVU,肾、输尿管积水消失,排尿期膀优造影无反流。认为成人输尿管囊肿多数在3cm左右,术前行排尿期膀胱造影如无输尿管反流,不伴有膀胱或囊肿内其它病变,可行输尿管囊肿切除术或经尿道输尿管囊肿切除术。在有内窥镜手术的条件下,经尿道输尿管囊肿切除术为首选及简便的方法。
In order to improve the diagnosis and treatment of ureteral cyst in adults, the clinical data of 12 patients who were treated in 14 years were reported. In 12 cases, there were 5 males and 7 females, aged from 20 to 47 years, with an average of 34 years. 7 cases underwent ureterocele (2 cases underwent open urethral cystoplasty) and 5 cases underwent transurethral ureteral cyst resection. Follow-up 1 to 12 years, the patient disappeared symptoms, review IVU, kidney, ureteral hydronephrosis disappear, voiding bladder excellent contrast no reflux. The majority of adult urethral cysts are about 3cm. Preoperative urinary bladder cystography such as ureter reflux without bladder or cyst other lesions, viable ureterocele or transurethral ureter cyst resection. Under endoscopic surgery, transurethral urethral cyst excision is the preferred and simple method.