15例下腔静脉后输尿管的外科治疗  

The Surgery Treatment of Retrocaval Ureter (Report of 15 Cases)

作　　者：黄红卫[1] 葛根[1] 潘正跃[1] 

机构地区：[1]江西医学院第二附属医院泌外科,江西南昌330006

出　　处：《江西医学院学报》2003年第4期69-71,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的　为了提高下腔静脉后输尿管的诊治水平。方法　对 15例下腔静脉后输尿管患者行静脉肾盂尿路造影 (IVU)、逆行尿路造影 (RP)和B超、CT或MRI检查 ,明确诊断后行手术矫正治疗。结果　术后 2～ 6个月复查 ,13例患者症状消失 ,肾积水均有不同程度减轻 ,输尿管通畅 ,吻合口无狭窄。 2例患者因吻合口狭窄经再次手术后恢复。结论　对不明原因的右肾及输尿管积水患者应考虑本病的可能。IVU和RP是诊断下腔静脉后输尿管的首选检查方法 ,并为临床提供诊断依据 。Objective To investigate the strategy of diagnosis and treatment of retrocaval ureter.Methods Fifteen cases of retrocaval ureter were diagnosed via the combination of imaging examinations, such as intravenous urography(IVU),Retrograde ureterography(RU)or B ultrasound?CT or MRI. Operation was performed on all the patients and the ureters were dismembered and anastomosed.Results All the patients had been followed up for 2 ～ 6 months without stenosis. The symptoms were disappeared in 13 cases and their hydronephrosis and hydroureter significantly reduced on IVU and ultrasonography.Conclution In patients with hydronephrosis and hydronephrosis of upper segment on the right side,the possibility of retrocaval ureter should be considered. IVU and RU would be the first choice and the main means for diagnosis of retrocaval ureter.Segmental resection of the ureter with end to end stomosis is the best procedure for the treatment of this disease.

关 键 词：畸形 下腔静脉后输尿管 肾盂积水 外科手术 泌尿系 

分 类 号：R693.1[医药卫生—泌尿科学]