CAJ | 학술논문

目的：提高对腺性输尿管炎的认识．方法总结经病理证实的5例患者资料，就其病理特征、临床表现、诊断及治疗方法等进行讨论．结果2例行病变输尿管切除、输尿管端-端吻合术，1例行输尿管镜电灼术，2例因梗阻致肾严重积水、无功能而行肾输尿管切除术．5例患者均恢复顺利，随访15～152个月，平均86.6个月，未见复发，患侧肾积水无加重．结论腺性输尿管炎的发病机理尚不清楚，其确诊依赖于病理检查；本病为良性病变，切忌盲目按输尿管肿瘤行肾切除术．
목적：제고대선성수뇨관염적인식．방법총결경병리증실적5례환자자료，취기병리특정、림상표현、진단급치료방법등진행토론．결과2례행병변수뇨관절제、수뇨관단-단문합술，1례행수뇨관경전작술，2례인경조치신엄중적수、무공능이행신수뇨관절제술．5례환자균회복순리，수방15～152개월，평균86.6개월，미견복발，환측신적수무가중．결론선성수뇨관염적발병궤리상불청초，기학진의뢰우병리검사；본병위량성병변，절기맹목안수뇨관종류행신절제술．
Objective To raise the awareness of the glandularis ureteritis. Methods Five cases with glandularis ureteritis confirmed by pathological examination from Jan 2001 to Jun 2012 were reviewed. The diagnosis was assessed on histopathologic studies in all. The clinical manifestations, the diagnosis and treatment were discussed. Results Resections of the affected ureter and ureteroplasty were undertaken for 2 patients. Ureteronephrectomy was performed for 2 patients because of serious hydronephrosis due to obstruction. Electrofulguration via-ureteroscopy was carried out for another patient. All patients have been well and without recurrence on following up for 15 to 152 months, with an average of 86.6 months. Conclusion Glandularis ureteritis is not frequently seen and the etiopathogenesis is not yet clear. Biopsy is very important for suspected neoplasm of ureter before performing nephrectomy.