CAJ | 학술논문

目的提高对下腔静脉后输尿管的诊断及治疗水平.方法回顾性分析11例下腔静脉后输尿管患者的临床资料.其主要症状有腰部酸胀,右肾绞痛,血尿等.静脉尿路造影,逆行肾盂造影等多可明确诊断.11例行输尿管端端吻合术.结果随访1～10年,临床症状消失,右肾积水好转,输尿管通畅,肾功能正常.结论静脉尿路造影,逆行肾盂造影多能确诊,诊断困难时联合MRU或CT检查可明确诊断.手术治疗是首选治疗方法且效果满意.
목적 제고대하강정맥후수뇨관적진단급치료수평.방법 회고성분석11례하강정맥후수뇨관환자적림상자료.기주요증상유요부산창,우신교통,혈뇨등.정맥뇨로조영,역행신우조영등다가명학진단.11례행수뇨관단단문합술.결과 수방1～10년,림상증상소실,우신적수호전,수뇨관통창,신공능정상.결론 정맥뇨로조영,역행신우조영다능학진,진단곤난시연합MRU혹CT검사가명학진단.수술치료시수선치료방법차효과만의.
Objective To improve the level of diagnosis and treatment for Ureter behind Lower Vena Cava.Methods 11 cases of Ureter behind Lower Vena Cava patients′clinical information have been reviewed and analysed.The main symptom for these patients include waist ache,right kidney colic,hematuria and so on.Through visualizating on vein urinary passage,pelvis visualizating conversely and so on,a correct diagnosis can be gained mostly.Results As for 11 cases of patients who have been done ureteroureteral anastomsis,based on respective follow-up visit conducted during 1 to 10 years,their clinical symptom have disappeared,for example,right kidney hydrocele are mending well,ureter becomes smooth and kidney function normal.Conclusion Visualizating on vein urinary passage and pelvis visualizating conversely will bring mostly a correct diagnosis.When it is difficult to diagnose,a correct diagnosis can be obtained by combining such visualization with MRU or CT inspection.Surgical is a top choice for such patients,and can bring a satifactory effect.