Rippa A, Pedesini M P, Manganini V, Vavassori I, Arena D, Sangalli C, Franch L S, Franch L
Servicio de Urología, Hospital Clínica San Donato, Milán, Italia.
Arch Esp Urol. 1991 Jun;44(5):547-54.
We highlight the importance of the new diagnostic possibilities afforded by ureterorenoscopy and nephroscopy in the differential diagnosis of single or multiple cystic dysplasia of the upper excretory tract. Moreover, endoscopic treatment was performed in the two cases reported herein. In the first case the biopsy procedure was also therapeutic and in the second case cyst removal resolved the ureteral obstruction. Because the disease is detected infrequently and because treatment may be required even less frequently, several technical solutions have been applied to assess efficacy and reliability. Diathermy coagulation has proved to be the safest, fastest and the most effective. Follow-up has documented the absence of recurrence and good reepithelialization of the ureteral wall without progression to stricture. In those cases with single cyst, one-stage diathermy loop resection permits obtaining biopsy material and radical removal of the neoformation.
我们强调输尿管肾镜检查和肾镜检查为上尿路单发或多发囊性发育异常的鉴别诊断提供的新诊断可能性的重要性。此外，本文报道的两例均进行了内镜治疗。第一例中活检操作同时具有治疗作用，第二例中囊肿切除解除了输尿管梗阻。由于该疾病较少被发现，且治疗需求可能更少，因此已应用多种技术方案来评估疗效和可靠性。透热凝固已被证明是最安全、最快且最有效的。随访记录显示无复发，输尿管壁上皮化良好，未进展为狭窄。对于单囊肿病例，一期透热环切除术可获取活检材料并彻底切除新生物。
