摘要
目的探讨肾周尿囊肿的早期诊断与合理治疗。方法回顾分析６例肾周尿囊肿：５例有外伤史，１例有输尿管结石、肾积水史，术前经Ｂ超、逆行肾盂造影（ＲＰＧ）、ＣＴ检查确诊，２例ＲＰＧ检查发现瘘管。结果手术治疗４例：肾切除１例，囊肿去顶术３例，其中２例加瘘管切除；２例经皮穿刺引流后治愈。术后随访４个月～７年，囊肿无复发。结论肾周尿囊肿经Ｂ超筛选，结合ＲＰＧ、ＣＴ检查可明确诊断。早期发现且无输尿管梗阻者首选囊肿穿刺引流治疗，有瘘管或有输尿管梗阻者宜手术治疗原发病，同时处理囊肿并切除瘘管。
bjective To
study the early diagnosis and appropriate treatment of urinoma. Methods Retrospective
analysis of 6 cases of urinoma has been made,2 of the patients being male and 4 female.A past
history of trauma was noted in 5 cases.The other patient had a past history of ureterolithiasis
and hydronephrosis.Perirenal fluid has been demonstrated preoperatively on ultrasonography
in all. ResultsA fistula was found in 2 on retrograde pyelogram and a cyst in 2 on CT
scanning.All the 6 patients have been cured of the disease with no recurrence during the 4
month to 7 years' follow up.Open surgery has been carried out in 4,including 1 nephrectomy,3
partial cystectomy with concomitant fistulectomy in 2 of them.The other 2 patients underwent
percutaneous catheter drainage. Conclusions In the absence of fistula or ureteral
obstruction,aspiration and drainage of the cyst is the treatment of choice.Otherwise,open
surgery is indicated.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第6期354-355,共2页
Chinese Journal of Urology
