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目的提高对先天性畸性-下腔静脉后输尿管诊治的认识。方法回顾分析16例下腔静脉后输尿管的诊治资料。16例均于术后采用B超,KUB加IVP、MRU等检查,可发现右肾积水,输尿管扩张,走向异常,12例行输尿管端端吻合术,4例行输尿管肾盂吻合术。结果16例矫形术后3个月复查B超及IVP提示右肾积水缓解,肾功能正常,吻合口通畅,临床症状消失。以后每年复查B超,最长者8年,未见有肾积水加重和其他并发症。结论下腔静脉后输尿管诊断主要依据多种影像学的协同检查,采用输尿管复位矫正术能取得良好疗效。手术时机与方式选择非常重要。
Objective To improve the understanding of congenital anomalies-inferior vena cava ureter diagnosis and treatment. Methods Retrospective analysis of 16 cases of inferior vena cava after ureteral diagnosis and treatment data. 16 cases were detected by B-ultrasound, KUB plus IVP, MRU and other tests. Hydrophobic right kidney, ureteral dilatation and abnormality were found. Twelve patients underwent ureteral end-to-end anastomosis and 4 patients underwent ureteroscope anastomosis. Results 16 cases of orthopedics 3 months after the review of B-and IVP prompt the right hydronephrosis, renal function was normal, anastomotic patency, clinical symptoms disappeared. After the annual review of B-, the longest eight years, no increase in hydronephrosis and other complications. Conclusion The inferior vena cava ureter diagnosis is mainly based on a variety of imaging collaborative examination, the use of ureteral reduction orthodontics can achieve good results. The timing and method of operation are very important.