J4 ›› 2012, Vol. 11 ›› Issue (9): 59-61.

• 临床医学 • 上一篇    下一篇

输尿管镜在急性上尿路梗阻性肾功能衰竭中的临床应用

目的:探讨急性上尿路梗阻性肾功能衰竭的治疗方法。方法:采用输尿管镜检查,酌情气压弹道碎石,放置双J管内引流
治疗56例急性上尿路梗阻性肾功能衰竭患者。结果:术后患者血清B哉晕,Scr均明显下降,尿量不同程度恢复。结论:输尿管镜诊治急性上尿路梗阻性肾功能衰竭,具有安全、疗效可靠、损伤小等优点,能同时处理双侧输尿管病变,可作为首选治疗方法。   

  1. 大理学院大理教学医院,云南大理 671000
  • 收稿日期:2012-04-10 修回日期:2012-05-18 出版日期:2012-09-15 发布日期:2012-09-15
  • 作者简介:董学义,副主任医师,主要从事微创泌尿外科研究.

Clinical Application of Acute Renal Failure Followed Upper Ureteric Obstruction with Ureteroscopy

Objective: To investigate the treatment of acute renal faiure (ARF) due to upper uretericobstruction. Methods: Fifty-six
patients with ARF followed upperureteric obstruction were treated with ureteroscopy, combined with pneumatic lithotripter in case of urinary tract stone, and placed double J tube for drainage treatment. Results: The level of BuN and SCr decreased obviously after operation, and urine volume recoverd in different degrees. Conclusion: Ureteroscopy provides a safe and effective method for the treatment of acute renal failure followed upper ureteric obstruction, which could treat the bilateral ureteral obstruction.   

  1. Dali Teaching Hospital of Dali University, Dali, Yunnan 671000, China
  • Received:2012-04-10 Revised:2012-05-18 Online:2012-09-15 Published:2012-09-15

摘要:

目的:探讨急性上尿路梗阻性肾功能衰竭的治疗方法。方法:采用输尿管镜检查,酌情气压弹道碎石,放置双J管内引流
治疗56例急性上尿路梗阻性肾功能衰竭患者。结果:术后患者血清B哉晕,Scr均明显下降,尿量不同程度恢复。结论:输尿管镜诊治急性上尿路梗阻性肾功能衰竭,具有安全、疗效可靠、损伤小等优点,能同时处理双侧输尿管病变,可作为首选治疗方法。

关键词: 肾功能衰竭, 急性, 尿路梗阻, 输尿管镜

Abstract:

Objective: To investigate the treatment of acute renal faiure (ARF) due to upper uretericobstruction. Methods: Fifty-six
patients with ARF followed upperureteric obstruction were treated with ureteroscopy, combined with pneumatic lithotripter in case of urinary tract stone, and placed double J tube for drainage treatment. Results: The level of BuN and SCr decreased obviously after operation, and urine volume recoverd in different degrees. Conclusion: Ureteroscopy provides a safe and effective method for the treatment of acute renal failure followed upper ureteric obstruction, which could treat the bilateral ureteral obstruction.

Key words: kidney failure, acute, urethral obstruction, ureteroscopy

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