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目的 提高下腔静脉后输尿管的诊治水平。 方法 行输尿管造影 (RU)或磁共振尿路造影 (MRU)等检查 ,特征性影像学表现为输尿管呈反J形或S形。治疗采用输尿管切断复位矫正术 ,术中切除下腔静脉后有病变的输尿管 2～ 3cm ,无张力吻合输尿管。 结果 10例患者术前均明确诊断。术后 3～ 6个月复查症状消失 ,肾积水均有不同程度减轻 ,吻合口无狭窄。 结论 IVU和RU是诊断下腔静脉后输尿管的首选方法 ,输尿管切断复位矫正术是治疗此病较好的手术方式。
Objective To improve the diagnosis and treatment of ureter after inferior vena cava. Methods ureterography (RU) or magnetic resonance urography (MRU) and other tests, the characteristic imaging showed ureteral anti-J-shaped or S-shaped. Treatment of ureteral resection and reduction surgery, intraoperative resection of the inferior vena cava lesions of the ureter 2 ~ 3cm, tension-free ureter. Results 10 patients were diagnosed before surgery. 3 to 6 months after the review of symptoms disappeared, hydronephrosis have reduced to varying degrees, anastomotic stenosis. Conclusion IVU and RU are the first choice for the diagnosis of ureter after inferior vena cava. Ureteral resection and orthodontic treatment is a good surgical treatment for this disease.