下腔静脉后输尿管的诊治分析  

The diagnosis and treatment of retrocaval ureter

作　　者：田晶[1] 左杰[1] 高宏伟[1] 蔡启亮[1] 李刚[1] 权昌益[1] 牛远杰[1] 

机构地区：[1]天津医科大学第二医院泌尿外科天津市泌尿外科研究所,天津300211

出　　处：《国际泌尿系统杂志》2013年第4期480-482,共3页International Journal of Urology and Nephrology

摘　　要：目的提高下腔静脉后输尿管的诊断及治疗水平。方法回顾性分析自2003年3月至2011年9月诊治的13例下腔静脉后输尿管的临床资料，并复习相关文献。结果13例患者均行腹腔镜输尿管矫型术，其中1例患者因术中损伤下腔静脉中转开放手术，术后均随访7个月至8年，预后良好，无吻合口狭窄，肾积水加重等手术相关并发症产生。结论静脉肾盂造影（IVU）或磁共振尿路成像（MRU）发现输尿管走形异常，输尿管呈“S”型或反“J”型具有诊断意义；腹腔镜输尿管矫形术可作为治疗下腔静脉后输尿管的首选术式。Objectives To study the diagnosis and spective analysis clinical datas of 13 patients from March 2003 treatment of Retrocaval Ureter. Methods A retro- to September 2011, and review the relevant literature. Results All the patients underwent laporscopic surgery. One patient was treated by laporscopic surgery with infe- rior vena cava injury to open surgery. All patients were followed up from 7 months to 8 years, the prognosis is good, no ureteral stenosis, hydronephrosis and other surgery - related complications. Conclusions Intravenous urogra- phy （IVU） or magnetic resonance imaging urography （MRU） revealed urinary tract abnormalities and found the ure- ter out of shape, which was ＂S＂ shaped or anti - ＂J＂ shape with the diagnosis. Laparoscopic surgery might be as the first choice for the treatment of retrocaval ureter.

关 键 词：输尿管疾病 腔静脉 下 

分 类 号：R693[医药卫生—泌尿科学]