腔静脉后输尿管的下腔静脉肾盂吻合术

[Antecaval pyelopyelic anastomosis in retrocaval ureter].

作者信息

Derevianko I M, Gudenko Iu A

出版信息

Urol Nefrol (Mosk). 1996 Nov-Dec(6):7-9.

Abstract

Conservative surgery in retrocaval ureter consists of either ureteric resection with ureteroureteroanastomosis or antecaval ureteropyeloanastomosis without ureteric resection. Ureteroureteroanastomosis is often complicated by ureteric obstruction at the site of anastomosis. The authors offer in retrocaval ureter to establish antecaval pyelopyeloanastomosis which excludes anastomosis obstruction. The operative procedure is described. Good results were achieved in 3 children and 1 adult male treated.

摘要

腔静脉后输尿管的保守性手术包括输尿管切除并输尿管输尿管吻合术，或不进行输尿管切除的腔静脉前输尿管肾盂吻合术。输尿管输尿管吻合术常常因吻合部位的输尿管梗阻而变得复杂。作者提出在腔静脉后输尿管中进行腔静脉前肾盂肾盂吻合术，该术式可避免吻合口梗阻。文中描述了手术步骤。对3名儿童和1名成年男性进行治疗后取得了良好效果。