CAJ | 학술논문

目的提高下腔静脉后输尿管的诊断及治疗水平.方法回顾性分析自2003年3月至2011年9月诊治的13例下腔静脉后输尿管的临床资料,并复习相关文献.结果 13例患者均行腹腔镜输尿管矫型术,其中1例患者因术中损伤下腔静脉中转开放手术,术后均随访7个月至8年,预后良好,无吻合口狭窄,肾积水加重等手术相关并发症产生.结论静脉肾盂造影(IVU)或磁共振尿路成像(MRU)发现输尿管走形异常,输尿管呈“S”型或反“J”型具有诊断意义；腹腔镜输尿管矫形术可作为治疗下腔静脉后输尿管的首选术式.
목적 제고하강정맥후수뇨관적진단급치료수평.방법 회고성분석자2003년3월지2011년9월진치적13례하강정맥후수뇨관적림상자료,병복습상관문헌.결과 13례환자균행복강경수뇨관교형술,기중1례환자인술중손상하강정맥중전개방수술,술후균수방7개월지8년,예후량호,무문합구협착,신적수가중등수술상관병발증산생.결론 정맥신우조영(IVU)혹자공진뇨로성상(MRU)발현수뇨관주형이상,수뇨관정“S”형혹반“J”형구유진단의의；복강경수뇨관교형술가작위치료하강정맥후수뇨관적수선술식.
Objectives To study the diagnosis and treatment of Retrocaval Ureter.Methods A retrospective analysis clinical datas of 13 patients from March 2003 to September 2011,and review the relevant literature.Results All the patients underwent laporscopic surgery.One patient was treated by laporscopic surgery with inferior vena cava injury to open surgery.All patients were followed up from 7 months to 8 years,the prognosis is good,no ureteral stenosis,hydronephrosis and other surgery-related complications.Conclusions Intravenous urography (IVU) or magnetic resonance imaging urography (MRU) revealed urinary tract abnormalities and found the ureter out of shape,which was "S" shaped or anti-"J" shape with the diagnosis.Laparoscopic surgery might be as the first choice for the treatment of retrocaval ureter.