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报告4例小儿输尿管纤维上皮息肉。4例病变均起源于输尿管上段,3例呈单发,1例呈多发。患例胁腹部疼痛或(和)血尿为其主要表现。静脉尿路造影及B超显示息侧输尿管上段梗阻扩张或(和)肾积水,1例加行逆行肾盂造影显示输尿管腔内有一球茎形充盈缺损。3例行息肉及病变段输尿管切除,1例行病变段输尿管、部分肾盂切除及部分息肉电灼治疗,结果疗效满意,随访至今无复发。认为对输尿管上段梗阻或高度疑为此病者,采用大剂量静脉尿路造影或逆行肾盂造影可提高其确诊率。
Report of 4 cases of pediatric ureteral fibroepithelial polyps. All 4 lesions originated in the upper ureter, 3 were single, and 1 was multiple. Patients with threatening abdominal pain or (and) hematuria as its main manifestation. Intravenous urography and B-ultrasound showed lateral dilatation of ureteral obstruction or (and) hydronephrosis, retrograde pyelography plus retrograde pyelography in 1 showed a bulbar-shaped filling defect in the lumen of the ureter. 3 cases of polyps and lesions of the ureter, 1 case of pathological ureter, partial resection of the pelvis and partial polyp electrocautery, the results were satisfactory, no recurrence so far. That upper ureteral obstruction or highly suspected of this disease, the use of high-dose intravenous urography or retrograde pyelography can increase the diagnosis rate.