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目的 :为提高下腔静脉后输尿管的诊断和治疗水平。方法 :报告 6例下腔静脉后输尿管的临床资料。 6例患者均行输尿管造影等检查 ,影像学表现为输尿管呈鱼钩状或S形特征 ,对其中 2例并输尿管CT检查。治疗均行输尿管复位术。结果 :6例患者术前均明确诊断。术后 3— 6个月复查症状消失 ,肾积水程度减轻 ,吻合口无狭窄。结论 :下腔静脉后输尿管的诊断主要依靠IVU及逆行输尿管造影检查 ;输尿管造影结合输尿管CT检查方法可靠、准确。输尿管复位术是治疗此病有效的方法。
Objective: To improve the diagnosis and treatment of ureter after inferior vena cava. Methods: The clinical data of 6 cases of inferior ureteral ureter was reported. 6 patients underwent ureterography and other tests, imaging showed ureteral hook-shaped or S-shaped features, of which 2 cases and ureter CT examination. Treatment of ureteral resection. Results: 6 patients were diagnosed before surgery. 3-6 months after the review of symptoms disappeared, reduce hydronephrosis, anastomotic stenosis. Conclusion: The diagnosis of retroperitoneal ureter mainly depends on IVU and retrograde ureterography. Ureterography combined with ureter CT is reliable and accurate. Ureteral reduction is an effective method of treatment of the disease.