论文部分内容阅读
目的 :探讨下腔静脉后输尿管的诊治方法。方法 :18例患者男 15例 ,女 3例 ,年龄 18～ 6 1(平均 36 )岁 ,其中腔静脉后输尿管合并隐睾和尿道下裂各 1例。全部行静脉尿路造影 (IVU)、B超检查和逆行尿路造影 (RU) ,5例行CT检查 ,7例磁共振尿路造影 (MRU)。特征性影像学表现为输尿管呈反J形或横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 :术后 3～ 6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良好方法 ,输尿管切断矫正复位术是治疗此病的首选方式。
Objective: To investigate the diagnosis and treatment of ureter after inferior vena cava. Methods: Eighteen patients, 15 males and 3 females, aged from 18 to 61 (average 36 years), including 1 case of posterior vena cava combined with cryptorchidism and hypospadia. All patients underwent IVU, B-ultrasound and RU, 5 underwent CT, and 7 MRU. Characteristic imaging showed ureteral anti-J-shaped or horizontal S-shaped. Treatment of ureteral resection and reduction surgery, intraoperative resection of the inferior vena cava lesions of the ureter 2 ~ 3cm, tension-free ureter. Results: 3 to 6 months after the review of symptoms disappeared, hydronephrosis were reduced to varying degrees, anastomotic stenosis. Conclusion: IVU and RU are good methods for the diagnosis of posterior inferior vena cava ureter. Ureteral resection and reduction is the first choice for the treatment of this disease.