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离断复位术治疗下腔静脉后输尿管11例报告
引用本文:卢永伟,王剑松,袁龙,左毅刚,柯昌兴,王超,詹辉.离断复位术治疗下腔静脉后输尿管11例报告[J].云南医药,2006,27(2):126-128.
作者姓名:卢永伟  王剑松  袁龙  左毅刚  柯昌兴  王超  詹辉
作者单位:昆明医学院第二附属医院泌尿外科,云南昆明650101
摘    要:下腔静脉后输尿管又称输尿管前下腔静脉,是一种少见的先天性畸形。1997年1月至2005年6月我院收治下腔静脉后输尿管患者11例,经离断、复位、矫形术治疗,效果满意。报告如下。

关 键 词:下腔静脉后输尿管  诊断  离断复位术
文章编号:1006-4141(2006)02-0126-03
收稿时间:2005-09-13
修稿时间:2005-10-07

Treatment of 11 cases of retrocaval ureter with reduction after interruption and anastomosis
lu Yong - wei, WANG Jian - song, YUAN Long,et al..Treatment of 11 cases of retrocaval ureter with reduction after interruption and anastomosis[J].Medicine and Pharmacy of Yunnan,2006,27(2):126-128.
Authors:lu Yong - wei  WANG Jian - song  YUAN Long  
Institution:Urology Department, the Second Affiliated Hospital of Kamming Medical College, Kunming, 650101 China
Abstract:Objective To study the diagnosis and therapy of retrocaval ureter.Methods The clinical data and image data of 11 cases of retrocaval ureter in our hospital from January 1997 to June 2005 were analyzed.All the 11 cases were taken by 11th intercostal incision,we sufficiently dismembered the upper part of ureter and related vena cava,and performed retrocaval ureter orthopedics and reduction in all cases,and then rehabilitated the ureter in front of the inferior vena cava.Results All of 11 cases of retrocaval ureter were correctly diagnosed preoperatively and performed retrocaval ureter orthopedics and reduction.The follow-up of 8 cases showed improvement of hydronephrosis,ureter unconstriction and improvement of renal function to some degree.Other 3 cases were lost in follow-up.Conclusion The diagnosis of retrocaval ureter is easy.Usually an IVU or RU(retrograde ureterography) can make a correct diagnosis.Retrocaval ureter orthopedics and reduction are usually the ideal procedures for the treatment of this disease.
Keywords:Retrocaval ureter  Diagnosis  Reduction
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