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目的探讨腔静脉后输尿管的临床诊断与治疗。方法总结分析我院2003年7月至2010年8月16例下腔静脉后输尿管患者的资料。结果 16例患者术前联合应用相关影像学检查明确诊断,并行输尿管离断复位矫形术,恢复输尿管正常通道。术后随访2～84个月,右肾积水及输尿管上段扩张均明显减轻,输尿管通畅,吻合口未见狭窄。结论腔静脉后输尿管需联合各种影像学检查明确诊断,输尿管离断复位矫形术是主要的治疗方法,术中应用双J导管可减少狭窄的发生。
Objective To investigate the clinical diagnosis and treatment of ureter after vena cava. Methods The data of 16 patients with posterior inferior vena cava ureter in our hospital from July 2003 to August 2010 were analyzed. Results Sixteen patients were diagnosed by preoperative combined application of imaging examination and treated with ureteral resection and orthodontics to restore normal ureter. Follow-up 2 to 84 months after operation, the right hydronephrosis and upper ureteral dilatation were significantly reduced ureteral patency, anastomotic no stenosis. Conclusions The posterior vena cava ureter should be combined with various imaging examinations to confirm the diagnosis. Ureteral detachment and reduction orthopedic surgery is the main treatment method. Intraoperative application of double J catheter can reduce the occurrence of stenosis.