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[腔静脉后输尿管 - 诊断与外科治疗]

[Retrocaval ureter - diagnosis and surgical management].

作者信息

Sumarac-Petronić Z, Petronić V

出版信息

Helv Chir Acta. 1981 Aug;48(3-4):311-4.

PMID:7287461
Abstract

There are presented 6 cases of retrocaval ureter treated by the reconstructive surgical intervention, with good results in 5 cases and bad results in 1 case. Characteristic statement on intravenous pyelography and retrograde ureteropyelography is enough for diagnosis of retrocaval ureter; if it is not characteristical, but the doubt exists on retrocaval ureter, the cavography is necessary. In the presence of hydronephrosis, the early operative reposition of ureter (pyeloureter, ureter-ureter, vena cava, vena cava anastomosis) is most important because it saves the residual function of kidney.

摘要

本文介绍了6例采用重建性外科手术治疗的腔静脉后输尿管病例,其中5例效果良好,1例效果不佳。静脉肾盂造影和逆行输尿管肾盂造影的特征性表现足以诊断腔静脉后输尿管;若表现不典型,但怀疑为腔静脉后输尿管,则需进行腔静脉造影。存在肾积水时,早期进行输尿管手术复位(肾盂输尿管、输尿管-输尿管、腔静脉、腔静脉吻合)最为重要,因为这样可保留肾脏的残余功能。

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