Fujioka T, Ishii N, Katayose K, Chiba R
Hinyokika Kiyo. 1984 Mar;30(3):321-6.
Ureteral varices have been considered to be a relatively rare disease. Recently, reports on varices have been increasing with the development of X-ray examination, especially with the popularization of renal phlebography. We diagnosed left ureteral varices in 8 cases by renal venography. In 7 of these cases, gross hematuria was the main symptom, and varicocele accompanied it in the other case. In 7 cases of hematuria, surgery, ligation and removal of the varices was performed as palliative therapy for symptom; and, in all 7 cases, the gross hematuria disappeared in 7 to 18 months postoperatively. Ureteral varices should be classified into idiopathic and secondary types. In the case of idiopathic varices, a regional operation is sufficient to prevent venous reflux of the ureteral vein, and extensive surgery is needed in cases of collateral circulation on the venograms and secondary varices because of the unchangeable postoperative venous hypertension. We concluded that surgical treatment of ureteral varices is effective and is a useful palliative procedure in spite of the short postoperative follow up.
输尿管静脉曲张一直被认为是一种相对罕见的疾病。近年来，随着X线检查技术的发展，尤其是肾静脉造影术的普及，有关静脉曲张的报道不断增加。我们通过肾静脉造影诊断出8例左侧输尿管静脉曲张。其中7例以肉眼血尿为主要症状，另1例伴有精索静脉曲张。在7例血尿患者中，作为缓解症状的姑息性治疗，进行了手术结扎并切除静脉曲张；所有7例患者术后7至18个月肉眼血尿均消失。输尿管静脉曲张应分为特发性和继发性两类。对于特发性静脉曲张，进行局部手术足以防止输尿管静脉的静脉反流；而对于静脉造影显示有侧支循环的病例以及继发性静脉曲张，由于术后静脉高压无法改变，则需要进行广泛的手术。我们得出结论，尽管术后随访时间较短，但输尿管静脉曲张的手术治疗是有效的，是一种有用的姑息性手术。
