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目的探讨输尿管镜钬激光在原发性输尿管息肉诊治中的可行性和有效性。方法回顾性分析了2008年3月-2010年5月收治的10例输尿管息肉患者,其中男性6例,女性4例;年龄28～51岁,平均36.2岁,病程2周～5年。息肉位于左侧输尿管6例,右侧4例。主要症状为患侧腰背部隐痛者并/或肉眼血尿。经相关影像学检查及术中探查发现息肉位于输尿管上段8例;中段和下段各1例。应用输尿管镜钬激光处理原输尿管息肉顺利,术后留置6～8号双J管3～4周。所有标本术后病检确认为输尿管息肉。结果术后随访0.5～2年,所有患者症状体征明显缓解甚至消失。行B超或CT发现9,例患者肾积水有所缓解,未见明显输尿管狭窄。1例多发息肉者出现复发而再次病例行输尿管镜钬激光处理后未见再次复发。结论经输尿管镜钬激光治疗输尿管息肉是安全、有效、微创的方法。
Objective To investigate the feasibility and effectiveness of ureteroscopic holmium laser in the diagnosis and treatment of primary ureteral polyps. Methods A retrospective analysis of 10 cases of ureteral polyps admitted in our hospital from March 2008 to May 2010 included 6 males and 4 females, aged from 28 to 51 years with an average of 36.2 years and a course of 2 weeks to 5 years. Polyps located in the left ureter in 6 cases, the right side in 4 cases. The main symptoms are ipsilateral back pain and / or gross hematuria. The related imaging examination and intraoperative exploration found polyps in the upper ureter in 8 cases; the middle and lower one in each case. Ureteroscopic holmium laser treatment of the original ureteral polyps smooth, postoperative left 6 to 8 double J tube 3 to 4 weeks. Postoperative pathological examination of all specimens confirmed as ureteral polyps. Results The patients were followed up for 0.5 to 2 years. The symptoms and signs of all patients were significantly relieved or even disappeared. Line B or CT found 9 cases of hydronephrosis have been alleviated, no obvious ureteral stricture. One case of multiple polyps recurrence and again cases of ureteroscopic holmium laser treatment did not relapse. Conclusion Ureteroscopic holmium laser treatment of ureteral polyps is a safe, effective and minimally invasive method.