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目的探讨输尿管结石并发急性肾功能衰竭的急诊手术治疗方法。方法依据结石部位及患者情况分别采取输尿管插管引流,经皮肾穿刺造瘘引流,肾或输尿管切开取石,输尿管镜取石等不同方法。结果术后全部患者血尿素氮、血肌酐均不同程度降低或恢复正常。死亡3例(3.4%),术后并发尿瘘2例,其余均治愈。结论输尿管结石并急性肾功能衰竭患者及早手术解除梗阻,肾功能常能恢复,疗效好且治愈成功率高。输尿管镜碎石术是目前治疗输尿管结石并发急性肾功能衰竭的一种安全有效的方法。
Objective To discuss the emergency surgical treatment of ureteral calculi complicated with acute renal failure. Methods According to the location of the stone and the patients were taken ureteral catheter drainage, percutaneous nephrostomy drainage, kidney or ureterolithotomy, ureteroscopy and other methods. Results All patients with postoperative blood urea nitrogen, serum creatinine were reduced to varying degrees or returned to normal. 3 cases died (3.4%), 2 cases of postoperative urinary fistula, the rest were cured. Conclusions Patients with ureteral calculi and acute renal failure can relieve the obstruction as soon as possible. Renal function can often be recovered with good curative effect and high cure success rate. Ureteroscopic lithotripsy is a safe and effective method for the treatment of ureteral calculi complicated with acute renal failure.