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目的:探讨儿童下腔静脉后输尿管的诊断与治疗方法。方法:回顾性分析8例下腔静脉后输尿管患者的临床资料。术前经B超等影像学检查确诊,其中7例采用开放性输尿管复位矫形术,1例采用腹腔镜手术。结果:术后6～12个月复查,临床症状均消失,B超及静脉尿路造影(IVU)检查提示输尿管位于正常位置,吻合口无狭窄,肾盂及输尿管积水明显减轻。结论:下腔静脉后输尿管术前通过多种影像学检查均明确诊断。输尿管复位矫形术是目前治疗本病的主要方法,腹腔镜手术可能会成为治疗本病的首选方式。
Objective: To investigate the diagnosis and treatment of ureter after inferior vena cava in children. Methods: The clinical data of 8 patients with ureter after inferior vena cava were retrospectively analyzed. Preoperative ultrasound B ultrasound imaging diagnosis, of which 7 cases of open ureteral reduction orthosis, 1 case of laparoscopic surgery. Results: After 6-12 months of operation, all clinical symptoms disappeared. Ultrasonography and intravenous urography (IVU) showed that the ureter was in normal position with no anastomotic anastomosis and renal pelvis and ureteral hydronephrosis were relieved. CONCLUSIONS: Inferior vena cava ureter is clearly diagnosed by various imaging tests. Ureteral reduction orthopedic surgery is the main method of treatment of this disease, laparoscopic surgery may become the preferred method of treatment of this disease.