摘要
目的提高下腔静脉后输尿管的诊治水平。方法报告9例下腔静脉后输尿管;其中8例为低襻型(Ⅰ型),1例为高襻型(Ⅱ型)。诊断主要依据静脉尿路造影(IVU)及逆行输尿管肾盂造影(RP),其中2例同时行磁共振水成像(MRU)检查。治疗以手术为主。除1例Ⅱ型高襻型未手术外;Ⅰ型低襻型中6例行输尿管复位矫形术,2例行右肾切除。结果Ⅰ型中6例行输尿管矫形术,术后复查B超和IVU示肾积水改善,吻合口无狭窄,2例行右肾切除术,术后临床治愈。Ⅱ型1例随诊3年,复查B超肾积水无加重。结论IVU和RP是诊断本病的主要方法,MRU是IVU或RP检查的有益补充。手术首选输尿管复位端端吻合术。
Objective To improve the diagnosis and treatment of retrocaval ureter. Methods 9 cases of retrocaval ureter were reported. 8 cases of was low loop (typeⅠ) and one case was high loop (type Ⅱ). The diagnosis of this disease depends on urography and retrograde ureterography, operation was the principle teatrment. Except one case of typeⅡ, ureter oredopdeics and reduction were performed in 6 cases (typeⅠ) and nephroectomy were performed in Ⅱ 2 cases (typeⅠ). Results B ultrasound and excretory urography showed no stenosis and improvement of hydronephrosis in 6 case after ureter orthopedics and reduction. 2 cases cured after nephroectomy. 1 case of type Ⅰwas followed for 3 years, B ultrasound showed no improvement of hydronephrosis. Conclusions IVU and RP are the main method for the diagnosing retrocaval ureter. MRU is a beneficial supplemental method for the IVU or RP. Ureter orthopedics and reduction are ideal to treat retrocaval ureter.
出处
《海南医学》
CAS
2005年第7期25-26,共2页
Hainan Medical Journal
