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目的 :提高下腔静脉后输尿管的诊治效果。方法 :联合应用静脉尿路造影 (IVU ) +逆行性尿路造影(RU) ,Presman法、CT、磁振尿路造影 (MRU )明确诊断。采用输尿管离断 ,切除或旷置病变段输尿管 ,于下腔静脉前外侧行输尿管对端吻合术 ,恢复输尿管正常解剖通道。结果 :11例患者术前均明确诊断 ,手术矫正复位顺利。术后3～ 12个月复查症状消失 ,肾及输尿管上段积水扩张有不同程度减轻 ,输尿管通畅 ,无吻合口狭窄。结论 :下腔静脉后输尿管的诊断需联合应用各种影像学检查。输尿管离断复位吻合术是治疗该病的主要术式
Objective: To improve the diagnosis and treatment of ureter after inferior vena cava. Methods: The combined diagnosis of intravenous urography (IVU) + retrograde urography (RU), Presman method, CT and magnetic resonance urography (MRU) was used. Ureterotomy, excision or exclusion of ureteral lesions, in the inferior vena cava anterolateral ureter anastomosis, restoration of normal ureteral anatomical channels. Results: All the 11 patients were diagnosed preoperatively and were successfully repaired by surgery. 3 to 12 months after the review of symptoms disappeared, hydronephrosis of the upper ureter and ureter with varying degrees of relief, ureteral patency, no anastomotic stenosis. Conclusion: The diagnosis of inferior ureter ureter should be combined with various imaging examinations. Ureteral resection and anastomosis is the main surgical treatment of the disease