下腔静脉后输尿管  

Retrocaval ureter

作　　者：高伯生[1] 马腾骧[1] 董克权[1] 张祖诏[1] 王文成[1] 姚庆祥[1] 

机构地区：[1]天津医科大学第二医院泌尿外科

出　　处：《中华外科杂志》1998年第3期136-137,共2页Chinese Journal of Surgery

摘　　要：目的提高下腔静脉后输尿管病的诊治水平。方法报告２０例下腔静脉后输尿管。平均年龄３３．４岁。诊断主要依据静脉尿路造影及逆行输尿管肾盂造影。治疗以手术为主。除１例Ⅱ型（高襻型）未手术外，其余１９例Ⅰ型（低襻型）均行输尿管复位矫形术。切除下腔静脉后有病变的输尿管３～４ｃｍ，在无张力下进行输尿管吻合术，使输尿管恢复近于正常解剖部位的连续性。术后行Ｂ超和静脉尿路造影随访检查。结果肾积水都有不同程度改善，吻合口无狭窄。结论下腔静脉后输尿管复位矫形手术可获较好疗效。Objective To improve the diagnosis of retrocaval ureter. Method 20 cases of retrocaval ureter with an averae age of 33 4 years were reported.The diganosis of this disease depends on urography and retrograde ureterography. Operation was the principal treatment. Ureter orthopedics and reduction were performed in 19 cases of type 1(low loop) except one case of type Ⅱ(high loop).After removing 3～4 cm retrocaval ureter with pathological changes, we anastomosed the ureter without tention and regained its normal anatomic position. Result B ultrasound and excretory urography showed no stenosis and improvement of hydronephrosis. Conclusion Ureter orthopedics and reduction are ideal for the treatment of retrocaval ureter.

关 键 词：输尿管疾病 下腔静脉 静脉后输尿管 

分 类 号：R693.1[医药卫生—泌尿科学]