有多种手术处置方式可用来治疗,包括开放性根治性肾输尿管切除术及腹腔镜手术处置。
There are a number of surgical approaches to manage this condition including open radical nephroureterectomy and laparoscopic procedures.
结果2例行病变输尿管切除及输尿管成形术,1例行输尿管镜电灼术,1例因梗阻致肾严重积水而行肾输尿管切除术。
Results Resection of the affected ureter and ureteroplasty were undertaken for 2 patients. Ureteronephrectomy was performed for 1 patient because of serious hydronephrosis due to obstruction.
输尿管息肉的治疗以手术为主,应根据息肉的大小、数量、部位及肾脏受累程度选择单纯切除术、输尿管部分切除术和肾盂成形术等。
Surgery is the main treatment for ureteral polyps and a correct choice of the surgical approach should be decided by the lesion size, Numbers, position and loss degree of renal unit function.
目的:探讨与腹腔镜全直肠系膜切除术(LTME)有关的左输尿管解剖学特点和保护方法。
Objective: To explore the anatomical characteristics and the methods to prevent injuries of ureter in laparoscopic total mesorectal excision(LTME).
肾输尿管全切除术是治疗本病的首选方法。
Radical resection of kidney and ureter is the preferred treatment for this disease.
结果33例患者中17例接受全盆腔脏器切除术治疗,14例接受后盆腔脏器切除术;2例为直肠癌合并输尿管下段切除。
Results Of 33 cases, 17 patients underwent total pelvic exenteration, 14 patients posterior pelvic exenteration and 2 rectal cancer resection combined with lower ureter resection.
结果:1例行肾切除加输尿管大部分切除术,8例行病变输尿管节段性切除术加肾盂成形术或输尿管再植术。术后5例获随访2~ 74个月,未见息肉复发及恶变。
Result: 1 case underwent nephroureterectomy, 8 cases local resection plus pyeloplasty or ureterovesical replantation. 5 cases had been followed up for 2~74 months with no recurrence or canceration.
对可疑病变应行病理检查,切忌盲目按输尿管肿瘤行肾切除术。
Biopsy is very important for suspected neoplasm of ureter before performing nephrectomy.
对可疑病变应行病理检查,切忌盲目按输尿管肿瘤行肾切除术。
Biopsy is very important for suspected neoplasm of ureter before performing nephrectomy.
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