论文部分内容阅读
目的总结急性上尿路梗阻性无尿的诊治经验。方法58例急性上尿路梗阻性无尿患者,诊断为输尿管结石48例,盆腔肿瘤压迫5例,腹膜后纤维化2例,膀胱癌术后尿流改道后输尿管梗阻3例。结果急诊经膀胱镜下置双J管术27例,碎石加置管术18例,经皮肾穿刺造瘘术11例,经造瘘口直接插管术1例,血液透析过渡后采用输尿管镜碎石1例。所有患者无术中、术后并发症,肾功能有不同程度恢复,19例术后24h血肌酐降至正常水平,54例术后1～2周后降至正常水平。结论对急性上尿路梗阻性无尿的患者及早准确地作出诊断,采用合适的治疗方式,可取得良好的治疗效果。
Objective To summarize the experience of diagnosis and treatment of acute upper urinary tract obstructive anuria. Methods 58 cases of acute upper urinary tract obstruction of anuria, diagnosis of ureteral calculi in 48 cases, pelvic tumor compression in 5 cases, retroperitoneal fibrosis in 2 cases, postoperative urinary bladder diversion urinary tract obstruction in 3 cases. Results In the emergency department, 27 cases were treated with double J tube under cystoscopy, 18 cases were treated by gravel and catheterization, 11 cases were percutaneous nephrostomy, 1 case was directly intubated through fistula, and ureter was used after hemodialysis transition 1 case of gravel. All patients without surgery, postoperative complications, renal function were restored to varying degrees, 19 cases of serum creatinine dropped to normal levels after 24h, 54 cases of 1-2 weeks after the fall to normal levels. Conclusion Acute upper urinary tract obstruction in patients with anuria accurate early diagnosis, the use of appropriate treatment, can achieve good therapeutic effect.