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离断复位术治疗下腔静脉后输尿管11例报告

Treatment of 11 cases of retrocaval ureter with reduction after interruption and anastomosis.

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【作者】 卢永伟王剑松袁龙左毅刚柯昌兴王超詹辉

【Author】 LU Yong-wei,WANG Jian-song,YUAN Long,et al.(Urology Department,the Second Affiliated Hospital of Kunming Medical College,Kunming,650101 China)

【机构】 昆明医学院第二附属医院泌尿外科昆明医学院第二附属医院泌尿外科 云南昆明650101云南昆明650101

【Abstract】 Objective To study the diagnosis and therapy of retrocaval ureter.Methods The clinical data and image data of 11 cases of retrocaval ureter in our hospital from January 1997 to June 2005 were analyzed.All the 11 cases were taken by 11th intercostal incision,we sufficiently dismembered the upper part of ureter and related vena cava,and performed retrocaval ureter orthopedics and reduction in all cases,and then rehabilitated the ureter in front of the inferior vena cava.Results All of 11 cases of retrocaval ureter were correctly diagnosed preoperatively and performed retrocaval ureter orthopedics and reduction.The follow-up of 8 cases showed improvement of hydronephrosis,ureter unconstriction and improvement of renal function to some degree.Other 3 cases were lost in follow-up.Conclusion The diagnosis of retrocaval ureter is easy.Usually an IVU or RU(retrograde ureterography) can make a correct diagnosis.Retrocaval ureter orthopedics and reduction are usually the ideal procedures for the treatment of this disease.

  • 【文献出处】 云南医药 ,Medicine and Pharmacy of Yunnan , 编辑部邮箱 ,2006年02期
  • 【分类号】R699
  • 【下载频次】21
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