CAJ | 학술논문

目的提高下腔静脉后输尿管的诊治水平.方法行静脉路肾盂造影(IVU),输尿管逆行造影(RU)或磁共振尿路造影(MRU)等检查,特征性影像学表现为右输尿管呈反J形或s形.治疗采用输尿管切断复位矫正术,术中切除下腔静脉后受压输尿管2～3 cm,无张力吻合输尿管.结果 15例矫正术后复查IVU提示右肾积水缓解,肾功能正常、吻合口通畅,临床症状消失.结论 IVU和RU是诊断下腔静脉后输尿管的首选方法.输尿管切断复位是治疗此病较好的方法.
목적 제고하강정맥후수뇨관적진치수평.방법 행정맥로신우조영(IVU),수뇨관역행조영(RU)혹자공진뇨로조영(MRU)등검사,특정성영상학표현위우수뇨관정반J형혹s형.치료채용수뇨관절단복위교정술,술중절제하강정맥후수압수뇨관2～3 cm,무장력문합수뇨관.결과 15례교정술후복사IVU제시우신적수완해,신공능정상、문합구통창,림상증상소실.결론 IVU화RU시진단하강정맥후수뇨관적수선방법.수뇨관절단복위시치료차병교호적방법.
Objective To study the diagnosis and therapy of cireumeaval ureter.Methods The diag-nosis of this disease depends on imaging examtions,such as mtravenous urograpny(IVU),retrogradure terophy(RU)or MRurograpy(MRU),showed risht hydronephosis with reveised"J shaped"or"S shaped"ureter.Surgicaloperation was used to treat this disease.The eomtpressed retrocaval portion of ureter was reseeted and end-endamastomosis Was performed antenor to the vena cava.Results 15 cases have been followed uD by IVU and ul-～asonography,and nO nephrohydrosis or stenosis of the amastomosis site has been noted.Conclusion IVU andRU ale the eardinal means for the diagnosis op eircumcaval ureter,segmental resestion of the ureter with end-to-end stomosis is the ideal procedure for the treatment of this disease.