摘要
目的探讨输尿管结石致急性梗阻性肾功能不全的诊断和治疗方法。方法回顾性分析我院2003年2月-2011年6月收治的39例输尿管结石致急性梗阻性肾功能不全患者的临床资料，分别通过输尿管镜碎石、膀胱镜逆行插管、经皮肾穿刺造瘘、血液透析处理。结果经相关处理后，31例肾功能完全恢复正常，4例肾功能明显改善，2例。肾功能轻度好转，2例肾功能无变化。结论对于输尿管结石致急性梗阻性肾功能不全患者，应尽快明确诊断，尽早解除输尿管梗阻。不同的患者根据具体病情选择适当的治疗方法，可以获得良好的疗效。输尿管镜下碎石术是治疗输尿管结石致急性肾功能不全的首选方法。
Objective To explore the diagnosis and treatment of acute obstructive renal insufficiency caused by ureteral calculi. Methods The clinical data on 39 patients with acute obstructive renal insufficiency caused by ureteral calculi who had been hospitalized during the period of February 2003 to June 2011 were retrospectively analyzed. All the patients reeeived ureteroscopic lithotripsy, cystoseopie retrograde intubation, PCN or hemodialysis. Results After treatment, 31 returned to normal, four improved significantly, two improved mildly, and two did not respond to the therapies. Conclusions For palients of acute obstructive renal insufficiency caused by ureteral calculi, diagnosis should be established and ureteral obstruction should be dismissed earlier. A better efficacy can be achieved by choosing proper therapies based on the specific eonditions in different patients. Ureteroscopic lithotripsy is the first ehoiee for aeute obstructive renal insufficiency caused by ureteral calculi.
出处
《国际医药卫生导报》
2012年第3期325-328,共4页
International Medicine and Health Guidance News
关键词
输尿管结石
急性梗阻
肾功能不全
Ureteral calculi
Acute obstruction
Renal insufficiency
