摘要
目的探讨输尿管结石梗阻致急性无尿的诊断、治疗及预后。方法对 1990年 1月至1999年 3月收治的输尿管结石梗阻致急性无尿病人 49例进行总结、分析。结果本组经输尿管镜取石 2 8例、体外冲击波碎石 (ESWL)治疗 6例、输尿管镜配合ESWL治疗 3例 ,均获成功 ,无并发症 :开放性手术取石 12例 ,5例发生并发症。梗阻解除后 34例 (6 9 4% )病人肾功能在 5～ 10天内恢复正常。结论输尿管结石梗阻致急性无尿的治疗应及早解除梗阻 ,挽救肾功能 ,尽量避免开放性手术取石。输尿管镜对本病的诊断、治疗有重要价值。原有慢性肾功能减退或急性梗阻解除前滥用利尿剂者 ,预后较差。
Objective [WT5”BZ]To explore diagnosis,treatment and prognosis of acute anuria caused by ureteral obstruction with ureteral calculi. [WT5”HZ]Methods [WT5”BZ]49 cases of acute anuria caused by ureteral obstruction with ureteral calculi were studied during January 1990 to March 1999. [WT5”HZ]Results [WT5”BZ]Among these patients,28 cases were treated with ureteroscopy,6 cases with ESWL,3 cases with the combination of ureteroscopy and ESWL.All these cases obtain success and have not complication.The remaining 12 cases were treated with open operation that 5 cases have complications.Renal function of 69.4%(34/49)patients were recovered within 5 to 10 days after relief of obstruction.Conclusion[WT5”BZ] Obstruction should be removed as early as possible.Uretoscopy plays an important role in the diagnosis and treatment of acute anuria caused by ureteral obstruction with ureteral calculi.Prognosis was usually poor for patients who suffered chronic renal dysfunction before treatment or misusers of diuretics pre-removing acute obstruction.
出处
《贵州医药》
CAS
2000年第6期335-336,共2页
Guizhou Medical Journal
