CAJ | 학술논문

目的：讨论非特异性输尿管炎的诊治。方法通过对本院1例考虑左肾盂区占位的、出现特殊症状的非特异性输尿管炎患者诊治回顾，同时查阅文献，讨论非特异输尿管炎的有效诊断及治疗。结果术中未行左肾输尿管切除术，仅剥离、切除包裹肾盂、输尿管的巧克力样物质。结论临床上有腰背部疼痛、肉眼血尿病史患者，影像学检查发现肾盂积水、肾盂及输尿管管壁增厚、不规则、或串珠样改变、输尿管蠕动不良时，应仔细与自发性肾周围出血、输尿管癌鉴别，若通过相关检验、影像学检查及细胞学检查未能确诊者，可行患侧肾盂输尿管探查术，切忌盲目行肾输尿管切除术。
목적：토론비특이성수뇨관염적진치。방법통과대본원1례고필좌신우구점위적、출현특수증상적비특이성수뇨관염환자진치회고，동시사열문헌，토론비특이수뇨관염적유효진단급치료。결과술중미행좌신수뇨관절제술，부박리、절제포과신우、수뇨관적교극력양물질。결론림상상유요배부동통、육안혈뇨병사환자，영상학검사발현신우적수、신우급수뇨관관벽증후、불규칙、혹천주양개변、수뇨관연동불량시，응자세여자발성신주위출혈、수뇨관암감별，약통과상관검험、영상학검사급세포학검사미능학진자，가행환측신우수뇨관탐사술，절기맹목행신수뇨관절제술。
Objective To discuss the diagnosis and treatment of non-specific ureteritis. Methods Considered by the Court left pelvis area occupying one case, and there are special non-specific symptoms in patients with treatment ureteritis recalled while literature and discuss the effective non-specific ureteritis diagnosis and treatment. Results Surgery did not undergo resection of the left kidney ureter, only stripping, removal of parcels renal pelvis, ureter choco-late-like substance. Conclusion Patients with a lower back pain, clinical history of macroscopic haematuria, imag-ingstudies revealed hydronephrosis, renal pelvis and ureter wall thickening, irregular, or beaded change, ureteral peri-stalsis is poor, should be carefully and spontaneous perirenal hemorrhage, ureteral cancer identification, If by related tests, imaging examination and cytological examination failed to diagnose patients, feasible with bilateral renal pelvis ureter surgical exploration, avoid blindly kidney ureteral resection.