Scholtmeijer R J
Z Kinderchir. 1987 Apr;42(2):103-8. doi: 10.1055/s-2008-1075562.
For the treatment of ureteroceles several surgical procedures have been described. The results of surgical treatment of 21 ureteroceles in 19 children treated with various types of surgery are reported. Reviewing these results and some recent papers in the literature one can say that in small intravesical ureteroceles the preferred surgical technique should be as simple as possible. A transurethral inferior osteotomy, transurethral puncture, or partial excision of the ureterocele with remodeling of the intravesical ureter should be the procedure of choice. In case of a large intravesical ureterocele with a single kidney, total excision of the ureterocele and reimplantation of the ureter into the bladder has been recommended. In ectopic ureteroceles and intravesical ureteroceles with a duplex system, heminephrectomy with partial ureterectomy can be performed, as in most cases the upper pole is nonfunctioning and dysplasic. Because of the various types of ureterocele and associated anomalies it is advisable to make an individual plan for surgical treatment for each patient.
对于输尿管囊肿的治疗，已有多种手术方法被描述。本文报告了19例接受不同类型手术治疗的儿童患者中21例输尿管囊肿的手术治疗结果。回顾这些结果以及文献中的一些近期论文，可以说对于小的膀胱内输尿管囊肿，首选的手术技术应尽可能简单。经尿道下截骨术、经尿道穿刺或输尿管囊肿部分切除术并重建膀胱内输尿管应是首选的手术方法。对于伴有单肾的大膀胱内输尿管囊肿，建议行输尿管囊肿全切术并将输尿管重新植入膀胱。对于异位输尿管囊肿和伴有重复系统的膀胱内输尿管囊肿，可进行半肾切除术并部分输尿管切除术，因为在大多数情况下，上极无功能且发育异常。由于输尿管囊肿的类型多样以及相关的异常情况，为每位患者制定个体化的手术治疗方案是明智的。
