输尿管长段狭窄,特别是中上段输尿管狭窄,是临床上较难处理的问题。我们采用游离腹膜片和带蒂大网膜治疗一例输尿管上段狭窄6.5cm 的患者,取得了较满意的效果,现报告如下:患者男,35岁。因双侧腰痛6个月、右腰部疼痛加剧1月,于1983年4月16日入院。尿常规:红细胞(+),脓细胞(+)。腹部平片:右肾区有3枚黄豆大小之结石.肾图;右肾呈梗阻曲线。排泄性尿路造影:右肾积水(重度),右输尿管上段狭窄。逆行造影:右输尿管上段明显狭窄,长达6.5cm,管径约1.5mm。左肾及输尿管正常.手术方法:右侧腰部斜切口。取出右肾下组肾盏之结石3枚。并发现右输尿管上段狭窄长达6.5cm,输尿管外径3mm,管壁柔软,无粘连,肾盂注水后,该段输尿管无蠕动。即将输尿管狭窄段前壁纵形切开至 Long ureteral stricture, especially in the upper ureteral stricture, is a more difficult clinical problem. We use free peritoneal and pedicled omentum in the treatment of a ureteral stricture 6.5cm in patients with satisfactory results, are as follows: The patient male, 35 years old. 6 months due to bilateral low back pain, right lower back pain intensified in January, on April 16, 1983 admission. Urine routine: red blood cells (+), pus (+). Abdominal plain film: the right kidney area has three soybean-sized stones. Renal chart; right renal obstruction curve. Excretory urography: right hydronephrosis (severe), the upper right ureteral stricture. Retrograde angiography: the upper right ureteral stricture, up to 6.5cm, diameter of about 1.5mm. Left kidney and ureter normal operation method: right lumbar oblique incision. Remove the right renal calyx stones under the group of three. And found that the upper right ureteral stenosis up to 6.5cm, ureteral diameter 3mm, the tube wall is soft, no adhesions, renal pelvis water injection, the ureter without peristalsis. About ureteral stricture anterior longitudinal cut to