下腔静脉后输尿管的诊断与治疗(附10例报告)  

The diagnosis and treatment of retrocaval ureter (report of 10 cases)

作　　者：谭万龙[1] 郑少斌[1] 陈彤[1] 齐桓[1] 左翼[1] 游杰[1] 张国良[1] 

机构地区：[1]第一军医大学南方医院泌尿外科,广州510515

出　　处：《中华泌尿外科杂志》2001年第2期84-85,共2页Chinese Journal of Urology

摘　　要：目的　提高下腔静脉后输尿管的诊治水平。　方法　行输尿管造影 (RU)或磁共振尿路造影 (MRU)等检查 ,特征性影像学表现为输尿管呈反J形或S形。治疗采用输尿管切断复位矫正术 ,术中切除下腔静脉后有病变的输尿管 2～ 3cm ,无张力吻合输尿管。　结果　 10例患者术前均明确诊断。术后 3～ 6个月复查症状消失 ,肾积水均有不同程度减轻 ,吻合口无狭窄。　结论　IVU和RU是诊断下腔静脉后输尿管的首选方法 ,输尿管切断复位矫正术是治疗此病较好的手术方式。Objective To study the diagnosis and treatment of retrocaval ureter. Mathods 10 cases of retrocaval ureter were reported. The diagnosis of this disease depends on imaging examinations, such as intravenous urography (IVU), retrograde ureterography (RU) or MR urography (MRU).Surgical operation was used to treat this disease. The compressed retrocaval portion of ureter was resected and end to end anastomosis was performed anterior to the vena cava in all the 10 cases. Results All the 10 cases were correctly diagnosed preoperatively. IVU and RU or MRU showed right hydronephrosis with reversed “J shaped”or “S shaped” ureter. B ultrasound and IVU revealed improvement of hydronephrosis and no ureter stenosis was observed postoperatively. Conclutions IVU and RU were the first choice to diagnose retrocaval ureter. Segmental resection of the ureter with end to end stomosis is the ideal procedure for the treatment of this disease.

关 键 词：输尿管疾病 尿路造影术 下腔静脉后输尿管 诊断 治疗 

分 类 号：R694.1[医药卫生—泌尿科学]