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[输尿管囊肿合并结石的手术治疗]

[Surgery of ureterocele with lithiasis].

作者信息

Virseda J A

出版信息

Arch Esp Urol. 1978 Mar-Apr;31(2):153-66.

PMID:697420
Abstract

We present 7 cases of ureterocele with secondary lithiasis, which constitute 15% of all our cases of ureterocele. From the clinical point of view, the symptoms are not different from those of these two separate pathologies. Nephroureteral colics associated with a low ureteral syndrome were the most frequent cause of the patients' visiting the doctor. Obstruction of the vesical neck is characteristic of ectopic or large ureteroceles. The diagnostic is radiographic and endoscopic. The results of the surgical treatment are much more superior with the transvesical approach followed by antireflux plastia to the transureteral approach, in which postoperative reflux is common, although it is usually well tolerated by adult patients.

摘要

我们报告7例伴有继发性结石的输尿管囊肿病例,占我们所有输尿管囊肿病例的15%。从临床角度来看,这些症状与这两种独立病症的症状并无不同。与低位输尿管综合征相关的肾输尿管绞痛是患者就医的最常见原因。膀胱颈梗阻是异位或巨大输尿管囊肿的特征。诊断依靠影像学和内镜检查。经膀胱途径联合抗反流整形术的手术治疗效果明显优于经输尿管途径,经输尿管途径术后反流常见,不过成年患者通常对此耐受性良好。

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1
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Arch Esp Urol. 1978 Mar-Apr;31(2):153-66.
2
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Adult bilateral non-obstructing orthotopic ureteroceles with multiple calculi: endoscopic management with review of literature.成人双侧非梗阻性原位输尿管囊肿伴多发结石:内镜治疗及文献复习
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