输尿管纤维上皮性息肉,肾积水,儿童,腹腔镜,手术 ," /> 输尿管纤维上皮性息肉,肾积水,儿童,腹腔镜,手术 ,"/> Ureteral fibroepithelial polyp,Hydronephrosis,Children,Laparoscopy,Surgery ,"/> <div> <span style="font-size:14px;line-height:2;">腹腔镜治疗儿童输尿管纤维上皮性息肉的临床效果</span> </div>
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发育医学电子杂志  2026, Vol. 14 Issue (3): 257-260,272    DOI: 10.3969/j.issn.2095-5340.2026.03.013
  生长发育   论著 |
腹腔镜治疗儿童输尿管纤维上皮性息肉的临床效果
刘平 李昭铸 张梦琪 冯也 杨书龙
哈尔滨医科大学附属第六医院 小儿外科,黑龙江 哈尔滨 150000
Clinical efficacy of laparoscopic treatment for ureteral fibroepithelial polyp in children
Liu Ping, Li Zhaozhu, Zhang Mengqi, et al.
Department of Pediatric Surgery, the Sixth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150000, China
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摘要 
目的  探讨儿童输尿管纤维上皮性息肉(ureteral fibroepithelial polyp,UFP)的临床特点及腹腔镜手术治疗的效果。 方法 回顾性分析 2022 年 8 月至 2024 年 10 月哈尔滨医科大学附属第六医院收治的 7 例 UFP 患儿的临床资料,并对其临床特点、术后治疗效果等进行总结。 结果   7 例患儿均为男性,临床表现主要为患侧腰背部疼痛,伴有恶心呕吐,2 例伴有血尿。所有患儿均行腹腔镜手术治疗,手术时间为 100~180 min,平均(157.14±27.06)min。5 例患儿术后恢复良好;2 例患儿因术后出现急性梗阻,先行超声引导下经皮穿刺肾造瘘术,6 个月后再次行肾盂成形术,术后定期复查超声,未见积水程度加重,既往症状未复现。 结论 腹腔镜手术治疗儿童 UFP 临床疗效良好,在彻底切除息肉、解除尿路梗阻的同时,具有创伤小、恢复快等优势。腹腔镜手术方案灵活且可重复性强,是治疗儿童UFP 安全、有效的首选术式。
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关键词:  输尿管纤维上皮性息肉')" href="#">    
Abstract: 
Objective To explore the clinical characteristics of ureteral fibroepithelial polyp (UFP) and the efficacy of laparoscopic surgical treatment in children. Methods A retrospective analysis was conducted on the clinical data of 7 children with UFP admitted to the Sixth Affiliated Hospital of Harbin Medical University from August 2022 to October 2024, the clinical characteristics and postoperative treatment efficacy of these children were summarized. Results All 7 patients were male. The main clinical manifestations included ipsilateral lumbodorsal pain accompanied by nausea and vomiting, and hematuria was noted in 2 cases. All patients received laparoscopic surgery, with an operative duration ranging from 100 to 180 minutes (mean ± standard deviation: 157.14±27.06 minutes). Five patients achieved uneventful postoperative recovery. Two patients developed acute postoperative obstruction and were treated with ultrasound-guided percutaneous nephrostomy. Secondary pyeloplasty was performed 6 months later. Regular follow-up ultrasonography showed no deterioration of hydronephrosis and no recurrence of initial symptoms. Conclusion Laparoscopic surgery demonstrates favorable clinical efficacy in the treatment of UFP in children. It enables complete polyp resection and relief of urinary tract obstruction, while offering the advantages of minimal trauma and rapid postoperative recovery. Laparoscopic surgery is a flexible and highly reproducible procedure, representing a safe, effective, and preferred surgical approach for pediatric UFP.
Key words:  Ureteral fibroepithelial polyp')" href="#">
收稿日期:  2025-04-22                出版日期:  2026-05-30      发布日期:  2026-05-30      期的出版日期:  2026-05-30
基金资助: 
黑龙江省重点研发计划项目(2022ZX06C08)
通讯作者:  杨书龙    E-mail:  bookdragonysl@163.com
引用本文:    
刘平 李昭铸 张梦琪 冯也 杨书龙.
腹腔镜治疗儿童输尿管纤维上皮性息肉的临床效果
[J]. 发育医学电子杂志, 2026, 14(3): 257-260,272.
Liu Ping, Li Zhaozhu, Zhang Mengqi, et al..
Clinical efficacy of laparoscopic treatment for ureteral fibroepithelial polyp in children
. Journal of Developmental Medicine(Electronic Version), 2026, 14(3): 257-260,272.
链接本文:  
http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2026.03.013  或          http://www.fyyxzz.com/CN/Y2026/V14/I3/257
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