下腔静脉后输尿管10例报告  

Clinical analysis of 10 cases of retrocaval Ureter

作　　者：殷民[1] 杨燮樵[1] 李仲宜[1] 杨远清[1] 李如兵[1] 

机构地区：[1]浙江省宁波大学医学院附属李惠利医院泌尿外科,315040

出　　处：《福建医药杂志》2002年第2期8-9,共2页Fujian Medical Journal

摘　　要：目的　提高下腔静脉后输尿管的诊治水平。方法　采用离断输尿管 ,在下腔静脉前外侧复位矫正方法 ,恢复输尿管正常通道。结果　 1 0例术前均明确诊断 ,均经手术矫正复位。术后 6～ 1 2月复查 ,肾及输尿管上段扩张均明显减轻 ,肾功能良好 ,输尿管通畅 ,吻合口无狭窄。结论　下腔静脉后输尿管是先天性下腔静脉胚胎发育异常所致 ,术前需联合应用多种影像学检查明确诊断 。Purpose To evaluate the diagnosis and treatment of retrocaval Ureter.Methods The combination of several image methods was used to make the diagnoses.Operation is the treatment of choice for retrocaval ureter,We dismembered the Ureter and anastomosed it anterolaterally which will rehabilitate the Ureter in front of the inferior vena cave.Results Diagnosis was confirmed in all 10 cases before the operation.All cases underment successful operation.The patients have been followed up for 6 12 months without stenosis.Hydronephrosis was relieved with good renal function.Conclusions Retrocaval ureter is caused by the abnormal development of inferior vena cava in the embryonic phase.Diagnosis depends on the combination of several image methods.Dismembered Ureteroplasty is the main operative procedure for the treatment of retrocaval ureter.

关 键 词：输尿管疾病 治疗 诊断 下腔静脉后输尿管 

分 类 号：R693.1[医药卫生—泌尿科学]