下腔静脉后输尿管11例诊治分析

目的 提高对下腔静脉后输尿管的诊断及治疗水平.方法 回顾性分析11例下腔静脉后输尿管患者的临床资料.其主要症状有腰部酸胀,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.结果 随访1～10年,临床症状消失,右肾积水好转,输尿管通畅,肾功能正常.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.手术治疗是首选治疗方法且效果满意.

Diagnosis & treatment for ureter behind lower vena cava CAI Hui-wu,ZHANG

Objective To improve the level of diagnosis and treatment for Ureter behind Lower Vena Cava.Methods 11 cases of Ureter behind Lower Vena Cava patients′clinical information have been reviewed and analysed.The main symptom for these patients include waist ache,right kidney colic,hematuria and so on.Through visualizating on vein urinary passage,pelvis visualizating conversely and so on,a correct diagnosis can be gained mostly.Results As for 11 cases of patients who have been done ureteroureteral anastomsis,based on respective follow-up visit conducted during 1 to 10 years,their clinical symptom have disappeared,for example,right kidney hydrocele are mending well,ureter becomes smooth and kidney function normal.Conclusion Visualizating on vein urinary passage and pelvis visualizating conversely will bring mostly a correct diagnosis.When it is difficult to diagnose,a correct diagnosis can be obtained by combining such visualization with MRU or CT inspection.Surgical is a top choice for such patients,and can bring a satifactory effect.