腔静脉后输尿管开放手术与腹腔镜手术的治疗

来源 :江苏省第十五次泌尿外科学学术会议 | 被引量 : 0次 | 上传用户:tanzhiming1985
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目的:探讨腔静脉后输尿管开放的手术与腹腔镜手术的效果.方法:本组11例腔静脉后输尿管;男性7例;女性4例,平均38岁(20~46)岁,通过B超、静脉肾盂造影、逆行肾盂造影及逆行肾盂造影联合下腔静脉造影,确诊为下腔静脉后输尿管.8例行开放手术,其中7例游离输尿管并切断复位,放置双"J"管行输尿管端端斜面吻合.1例肾脏皮质菲薄无功能行肾切除.另外3例行腹腔镜下输尿管端端吻合;术中后腹腔径路找到输尿管进行分离,在狭窄段切断输尿管复位子腔静脉前,放置双"J"管行端端吻合,术后放置双"J"管4周.
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