| 腔静脉后输尿管的诊断与治疗 |
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| 引用本文： | 庄仁汉,黎明,林炳森,李湖.腔静脉后输尿管的诊断与治疗[J].临床泌尿外科杂志,2006,21(3):206-207. |
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| 作者姓名： | 庄仁汉 黎明 林炳森 李湖 |
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| 作者单位： | 汕头大学医学院第二附属医院泌尿外科,广东,汕头,515041 |
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| 摘 要： | 目的:提高对腔静脉后输尿管的认识及治疗水平。方法:回顾性分析12例腔静脉后输尿管患者的临床资料。其主要症状有腰部不适、右肾绞痛、血尿等;静脉尿路造影、逆行肾盂造影等多可明确诊断;11例行输尿管端端吻合术,1例行右肾切除术。结果:随访1~9年,右肾积水缓解,输尿管通畅,肾功能正常,临床症状消失;1例发现输尿管吻合口上段结石,行输尿管镜碎石后留置双J管,4周后拔除,上述各项检查正常。结论:静脉尿路造影、逆行肾盂造影多能确诊、诊断困难时联合MRU或CT检查可明确诊断,不主张Presman法;手术是其首选治疗方法。
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| 关 键 词： | 输尿管疾病 下腔静脉 |
| 文章编号： | 1001-1420（2006）03-0206-02 |
| 收稿时间： | 2005-12-13 |
| 修稿时间： | 2005年12月13 |
The diagnosis and treatment of retrocaval ureter |
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| ZHUANG Ren-hang,LI Ming,LIN Bing-sen,LI Hu.The diagnosis and treatment of retrocaval ureter[J].Journal of Clinical Urology,2006,21(3):206-207. |
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| Authors: | ZHUANG Ren-hang LI Ming LIN Bing-sen LI Hu |
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| Institution: | 1Department of Urology, the Second Affiliatfd Hospital, Shantou University Medical College, Shantou, Guangdong,515041 ,China |
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| Abstract: | Objective:To improve the diagnosis and treatment of retrocaval ureter.Methods:Clinical data of 12 cases of patients with retrocaval ureter were reviewed.The diagnosis mainly depends on IVU and retrograde urogram.Eleven patients underwent ureter-ureter anastomosis,and one nephrectomy.Results:All the patients were followed up for 1 to 9 years by IVU and retrograde radiography.No hydronephrosis or stenosis of the anastomosis site were found.One patient was found having a ureteral stone above the anastomosis of the ureter.Conclusions:Most of the retrocaval ureter cases can be diagnosed by IVU and retrograde urography.MRI and CT scan are helpful in the diagnosis of difficult cases.Operation is the treatment of choice. |
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| Keywords: | Ureter disease Retrocaval ureter |
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