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下腔静脉后输尿管的诊断和治疗

The diagnosis and treatment of circumcaval ureter
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摘要 目的 :为提高下腔静脉后输尿管的诊断和治疗水平。方法 :报告 6例下腔静脉后输尿管的临床资料。 6例患者均行输尿管造影等检查 ,影像学表现为输尿管呈鱼钩状或S形特征 ,对其中 2例并输尿管CT检查。治疗均行输尿管复位术。结果 :6例患者术前均明确诊断。术后 3— 6个月复查症状消失 ,肾积水程度减轻 ,吻合口无狭窄。结论 :下腔静脉后输尿管的诊断主要依靠IVU及逆行输尿管造影检查 ;输尿管造影结合输尿管CT检查方法可靠、准确。输尿管复位术是治疗此病有效的方法。 Objective:To improve the diagnosing and treating level to circumcaval ureter.Methods:Report the clinical data of 6 cases of circumcaval ureter.examine the shapes of 6 patients' juxtaposed ureters and so on.Their ureters display to be fishhook shape or S shape.Do CT to 2 cases of juxtaposed ureter.Cure them by doing dislocation-correcting operation of juxtaposed ureters.Result:6 patients were all diagnosed correctly before operations.Symptoms disappeared 3-6 months after operations in re-examinations.The level of stagnant water in kidney lightened and the anastomosises were not narrow.Conclusion:The diagnosis of major circumcaval ureter depends on IVU and retrograde ureter's shaping examination.Ureter's shaping examination combines ureter's CT examination is accurate and reliable.Dislocation-correcting operation is an effective method to this kind of disease.
出处 《西藏医药》 2002年第2期21-22,共2页 Tibetan Medicine
关键词 输尿管畸形 尿路造影术 CT 输尿管复位术 诊断 治疗 ureters abnormal urethra shaping method CT disposition ureter's dislocation-correcting operation
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  • 1Fitt DC. Retrocaval ureter:repert a case diagnosed preoperatively by intcavenous and retrograde pyelography. Radiology,1965,84-699.
  • 2Carrion H, Howard MT, Bredt DS, et al.Retroeaval ureter:report of 8 cases and the surgical management. J Urol, 1979,121:514.
  • 3高伯生,马腾骧,董克权,张祖诏,王文成,姚庆祥.下腔静脉后输尿管[J].中华外科杂志,1998,36(3):136-137. 被引量:37
  • 4张劲,孙小庆,江洪涛.腔静脉后输尿管诊断方法的探讨[J].临床泌尿外科杂志,1998,13(7):317-318. 被引量:35

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