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目的提高下腔静脉后输尿管的诊治效果。方法回顾分析我院收治的15例下腔静脉后输尿管的诊治资料。主要临床表现有腰背部不适、尿路感染等。影像学检查(包括腹部B超、IVU、逆行造影及CT)发现右肾积水、输尿管上段扩张和走行异常。10例行肾盂离断、输尿管复位、肾盂成形术;3例行右肾切除术;2例行输尿管端端吻合术。结果对12例矫形术后患者随访,右肾积水不同程度减轻,肾功能正常,吻合口无狭窄,临床症状完全消失。结论影像学检查有助于明确下腔静脉后输尿管的诊断,手术治疗可纠正这种先天性畸形,有助于肾功能的长期改善。
Objective To improve the diagnosis and treatment of ureter after inferior vena cava. Methods The retrospective analysis of 15 cases of inferior vena cava in our hospital treated ureteral diagnosis and treatment data. The main clinical manifestations of lower back discomfort, urinary tract infections. Radiographic examination (including abdominal B-IVU, retrograde angiography and CT) found that the right hydronephrosis, upper ureteral dilation and abnormal walking. 10 cases of renal pelvis fracture, ureteral reduction, pyeloplasty; 3 cases of right nephrectomy; 2 cases of ureteral end-to-end anastomosis. Results 12 cases of orthopedic patients were followed up, the right hydronephrosis reduced to varying degrees, normal renal function, anastomotic stenosis, clinical symptoms disappeared completely. Conclusions Radiographic examination can help to clarify the diagnosis of ureter after inferior vena cava. Surgical treatment can correct this congenital malformation and contribute to the long-term improvement of renal function.