腔静脉后输尿管诊断和治疗  

The diagnosis and treatment of retrocaval ureter

作　　者：王天如[1] 桂亚平[1] 卞崔冬[1] 廖国强[1] 曹承华[1] 

机构地区：[1]同济大学附属同济医院泌尿外科,上海200065

出　　处：《同济大学学报（医学版）》2009年第4期129-131,共3页Journal of Tongji University(Medical Science)

摘　　要：目的探讨腔静脉后输尿管的诊断及治疗。方法总结分析1993年3月至2008年6月12例腔静脉后输尿管患者的临床资料。12例患者术前均经B超、静脉肾盂造影（intravenous pyelography,IVP）、逆行肾盂造影（retrograde pyelography,RP）、CT、磁共振尿路水成像（magnetic resonance urography,MRU）等影像学检查明确诊断,其中10例采用传统的开放手术,2例采用后腹腔镜下输尿管复位矫正术。结果术后3-6个月复查B超、IVP,12例患者临床症状均消失,肾积水不同程度减轻,吻合口无狭窄。结论腔静脉后输尿管的诊断主要依据综合多种影像学检查的结果,传统的开放手术和腹腔镜手术都能获得良好的效果。Objective To explore the diagnosis and treatment of retrocaval ureter. Methods The clinical data of 12 patients from Mar 1993 to Jun 2008 with retrocaval ureter were retrospectively analyzed. All the 12 cases were correctly diagnosed preoperatively via the combination of imaging examinations, such as ultrasonography,intravenous pyelography （IVP）,retrograde pyelography （RP）,CT or magnetic resonance urography （MRU）. Ten patients received conventional open surgery and two received retroperitoneal laparoscopic ureteral replacement and ureteroplasty. Results All the patients had been followed up for 3 -6 months without anastomotic stenosis. The symptoms were disappeared in all the cases with significant reduction of postoperative hydronephrosis. Conclusion The diagnosis of retrocaval ureter depends on the combination of several imaging methods. Either conventional open surgery or laparoscopic surgery may be the choice of treatment.

关 键 词：腔静脉后输尿管 诊断 治疗 腹腔镜 

分 类 号：R693.1[医药卫生—泌尿科学]