2024 04 v.18 9-11
重复肾输尿管畸形并输尿管纤维上皮性息肉1例报道
基金项目(Foundation):
邮箱(Email):
DOI:
中文作者单位:
山东乳山市人民医院;
摘要(Abstract):
目的 通过1例单侧重复肾、输尿管畸形合并输尿管纤维上皮性息肉患者的治疗经过来研究输尿管纤维上皮性息肉的临床表现、病因及诊断方法、治疗方式等，以提高临床医师对该疾病的认识。方法 收集乳山市人民医院1例诊断为左侧重复肾、输尿管畸形并输尿管纤维上皮性息肉患者的临床及病理资料，梳理其诊治经过及预后结果，对相关文献进行系统学习及归纳。结果 该例患者经泌尿系造影检查及左侧输尿管镜检查术确诊左侧重复肾、输尿管畸形合并输尿管息肉，进一步行左侧输尿管切开术，经病理证实为输尿管纤维上皮性息肉。患者术后预后良好，复查见积水明显减轻，临床症状基本消失。结论 输尿管纤维上皮性息肉术前诊断较困难，静脉肾盂造影可协助诊断，开放或微创手术切除输尿管息肉是其有效的治疗方式。该病预后良好，但对于儿童患者来说，术后应警惕发生远期并发症，密切随访至青春期。
关键词(KeyWords):
重复肾输尿管畸形;输尿管息肉;纤维上皮性息肉
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参考文献
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[2] Klézl P,Stanc O,RichterováR,et al. Benign fibroepithelial polyp of the ureter[J]. Cent European J Urol,2013,66(2):168-71. DOI:10.5173/ceju.2013.02.art15.
[3]王思雨,任祯涛,张潍平,等.儿童输尿管纤维上皮性息肉致肾积水的临床特点及诊治与结果分析[J].临床小儿外科杂志,2021,20(11):1026-1030. DOI:10.12260/lcxewkzz.2021.11.006.
[4]郭应禄,那彦群,叶章群,等.中国泌尿外科和男科疾病诊断治疗指南[M].北京:科学出版社,2019:674.
[5] Tibana T K,Santos R F T,Said L A M,et al. Fibroepithelial polyp of the ureter:the value of magnetic resonance imaging of the urinary tract in diagnosis and therapeutic planning[J]. Radiol Bras,2019,52(3):206-207. DOI:10.1590/0100-3984.2017.0214.
[6] Adey G S,Vargas S O,Retik A B,et al. Fibroepithelial polyps causing ureteropelvic junction obstruction in children[J]. J Urol,2003,169(5):1834-1836. DOI:10.1097/01.ju.0000061966.21966.94.
[7] Wang X M,Jia L Q,Wang Y,et al. Utilizing ultrasonography in the diagnosis of pediatric fibroepithelial polyps causing ureteropelvic junction obstruction[J]. Pediatr Radiol,2012,42(9):1107-1111. DOI:10.1007/s00247-012-2404-4.
[8] Li R,Lightfoot M,Alsyouf M,et al. Diagnosis and management of ureteral fibroepithelial polyps in children:a new treatment algorithm[J]. J Pediatr Urol,2015,11(1):e1-6. DOI:10.1016/j.jpurol.2014.08.004.
[9]王爱香,彭意吉,田泰,等.输尿管纤维上皮性息肉45例临床病理学分析[J].中华病理学杂志,2023,52(3):256-261. DOI:10.3760/cma.j.cn112151-20220823-00717.
基本信息:
DOI：
中图分类号:R693
引用信息:
[1]杨军伟.重复肾输尿管畸形并输尿管纤维上皮性息肉1例报道[J].中国典型病例大全,2024,18(04):9-11.
基金信息: