[1]张彤*,梁磊,郭二卫.以单侧肾积水为表现的输尿管结核4例临床分析[J].中国微创外科杂志,2018,18(8):690-693.
　Zhang Tong,Liang Lei,Guo Erwei..Unilateral Ureterohydromephrosis Presenting With Ureteral Tuberculosis: Clinical Analysis of 4 Cases[J].Chinese Journal of Minimally Invasive Surgery,2018,18(8):690-693.
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以单侧肾积水为表现的输尿管结核4例临床分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年8期
页码:
690-693
栏目:
临床研究
出版日期:
2018-10-30

文章信息/Info

Title:
Unilateral Ureterohydromephrosis Presenting With Ureteral Tuberculosis: Clinical Analysis of 4 Cases
作者:
张彤*; 梁磊; 郭二卫
北京市普仁医院泌尿外科，北京100062
Author(s):
Zhang Tong;  Liang Lei;  Guo Erwei.
Department of Urology, Pu Ren Hospital, Beijing 100062, China
关键词:
输尿管; 结核; 微创手术
Keywords:
Ureter; Tuberculosis; Minimally invasive surgery
文献标志码:
A
摘要:
目的探讨输尿管结核微创诊治的可行性。方法回顾性分析2010年7月~2016年8月4例输尿管结核的临床资料。均为输尿管下段狭窄，1例行后腹腔镜下肾输尿管全长切除术，1例行输尿管狭窄内切开支架置入术，2例行输尿管内支架置入术。均行T-SPOT结核检测。结果3例输尿管镜黏膜活检病理诊断结核，1例T-SPOT结核检测和肾输尿管切除病理诊断结核。术后抗结核治疗。4例结核病灶稳定，增强CT显示肾功能正常。随访6~20个月，平均15个月，肾积水消失，输尿管通畅。结论输尿管镜技术结合T-SPOT结核检测有助于输尿管结核的诊断。治疗可根据不同的输尿管病变程度和肾功能情况采用不同的微创治疗方式。
Abstract:
ObjectiveTo discuss the feasibility of minimally invasive diagnosis and treatment of ureteral tuberculosis.MethodsA retrospective review was done in 4 cases of ureteral tuberculosis confirmed by pathology from July 2010 to August 2016. One patient was treated with retroperitoneal laparoscopic nephro-ureterectomy with bladder-cuff. One patient was treated by endoureterotony combined with internal ureteral stenting. Two patients were treated by internal ureteral stent drainage. T-cell spot test for tuberculosis infection (T-SPOT.TB) was preformed in all the 4 patients.ResultsThree cases were diagnosed as having ureteral tuberculosis by ureteroscopy and mucosabiopsy. One case was diagnosed through T-SPOT.TB and sample resection. Antitubercular chemotherapy was conducted for all the patients. Tuberculosis lesion were obviously reduced and disappeared. Urinary and kidney function were normal in the enhancement CT. They were followed up for 6-20 months (mean, 15 months). The hydronephrosis disappeared and the ureter was unobstructed.ConclusionsUreteroscopy combined with T-SPOT.TB is an effective method for the diagnosis of ureteral tuberculosis. The minimally invasive treatment depends upon the side of ureteral stricture and renal function.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：zhangtong1106@sohu.com
更新日期/Last Update: 2018-10-30