摘要
目的 :探讨双侧上尿路结石梗阻并发急性肾功能衰竭的诊断及治疗方法。方法 :通过 B超、KUB、逆行插管造影检查明确诊断并通过肾、输尿管切开取石 ,肾穿刺造瘘 ,输尿管插管引流 ,ESWL达到治疗目的。结果 :术后全部患者尿毒症症状减轻或消失 ,血尿素氮 (BUN)、血肌酐 (Cr)均不同程度降低或恢复正常。结论 :对双侧上尿路结石宜争取同期施行双侧手术 ,因并发严重感染或患者一般情况差而无法取石者则应及早作输尿管逆行插管引流或肾造瘘术。
Purpose:To discuss the diagnosis and treatment methods for bilateral upper urinary tract stone obstruction associated with acute renal failure.Methods:The diagnosis was obtained by using ultrasound,KUB and retrograde pyelogram maneuver.To achieve treatment goal the patients underwent ureterolithotomy,renal puncture fistulization,ureterocatheterization draining,ESWL,etc.Results:Postoperatively most of the patients uremic symptoms were reduced or dissolved.All patients serum BUN、Cr levels decreased in different degree or return to normal. Conclusions:Operation is indicated for bilateral upper urinary tract stone,but if associated with severe infection or the patient general condition being poor,operation is contraindicaed and therefore early ureterocatheterization draining or renal fistulization is recommended.
出处
《临床泌尿外科杂志》
2000年第11期493-494,共2页
Journal of Clinical Urology
关键词
尿路结石
尿路梗阻
急性肾功能衰竭
Urinary calculi
Urinary obstruction
Acute renal failure
