腔静脉后输尿管的诊治  

The diagnosis and treatment of retrocaval ureter

作　　者：刘红军[1] 

机构地区：[1]广西壮族自治区第二人民医院泌尿外科,广西桂林541002

出　　处：《中外医学研究》2009年第12期16-17,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的提高对腔静脉后输尿管的认识及治疗水平。方法回顾性分析11例腔静脉后输尿管患者的临床资料。其主要症状有腰部不适、右肾绞痛、血尿等；静脉尿路造影，逆行肾盂造影等多可明确诊断；9例行输尿管端端吻合术，2例行右肾切除术。结果随访3个月～3年，右肾积水缓解，输尿管通畅，肾功能正常，临床症状消失；1例发现输尿管吻合口上端结石，行输尿管镜碎石后留置双“J”管，4周后拔除，上述各项检查正常。结论静脉尿路造影，逆行肾盂造影多能确诊，诊断困难时联合MRU或CT检查可明确诊断；手术是其首选治疗方法。Objective To improve the diagnosis and treatment of retrocaval ureter. Methods clinical data of 11 cases of patients with retrocaval ureter were reviewed. The diagnosis mainly depends on IVU and retrograde urogram, Nine patients underwent ureter - ureter anastomosis, and two nephrectomy. Results All the patients were followed up for 3 months to 3 years by IVU and retrograde radiography.No hydronepbrosis or stenoses of the anastomosis site were found. One patient was found having a ureteral stone above the anastomosis of the ureter, Conclusions Most of the retocaval ureter cases can be diagnosed by IVU and retrograde urography. MRI and CT scan are helpful in the diagnosis of difficult cases. Operation is the treatment of choice.

关 键 词：输尿管疾病 下腔静脉 诊断 治疗 

分 类 号：R693.1[医药卫生—泌尿科学] R693.5[医药卫生—外科学]