摘要
目的探讨输尿管结石并发肾包膜下积液的病因学及治疗方法。方法回顾性分析20例输尿管结石并发肾包膜下积液患者的临床资料。结果急性输尿管结石梗阻14例,体外冲击波碎石术后6例。16例行输尿管镜钬激光碎石术,14例梗阻解除后肾包膜下积液吸收、消失。6例经皮肾包膜穿刺引流积液消退,肾功能恢复良好。结论应积极解除急性梗阻或及时行肾包膜下穿刺引流,缓解症状,避免肾实质的损害。
Objective To evaluate the etiology and treatment of ureterolithiasis associated with renal subcapsular hydrops. Methods The clinical data of 20 cases with ureterolithiasis associated with renal subcapsular hydrops were reviewed retrospectively. Of 20 cases, 14 cases were acute ureterolithiasis with obstruction, 6 cases were treated by extracorporeal shock wave lithotripsy （ESWL）. Six cases were given percutaneous catheter drainage. Results Renal subcapsule hydrops of 14 cases disappeared after abscising the obstruction. The renal subcapsular hydrops of 6 cases was not abscised as expected, who underwent percutaneous catheter drainage with better recovery of renal function. Conclusion To avoid the damage of renal function, the ureterolithiasis and obstruction should be abscised or percutaneous catheter drainage should be performed actively.
出处
《江苏医药》
CAS
CSCD
北大核心
2009年第10期1159-1160,共2页
Jiangsu Medical Journal
关键词
输尿管结石
肾包膜下积液
Ureterolithiasis, Renal subeapsular hydrops
