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目的探讨双侧上尿路梗阻引起肾功能不全的诊断和治疗。方法对我院收治的200例双侧上尿路梗阻引起肾功能不全患者的临床资料进行回顾性分析。结果农村患者发病比例为86%,明显高于城镇患者(P<0.05)。最主要的梗阻原因是尿路结石。用输尿管插管、经皮肾穿刺造瘘和手术方法及早引流,解除梗阻,治愈88.5%,好转11.5%,平均住院26.55 d,血BUN、Cr恢复正常平均22.85 d,术后第7天总体血BUN、Cr分别下降73.35%和57.25%。结论双侧上尿路梗阻引起肾功能不全是泌尿外科的急重症,尽早解除梗阻有利于肾功能的恢复。
Objective To investigate the diagnosis and treatment of renal insufficiency caused by bilateral upper urinary tract obstruction. Methods The clinical data of 200 patients with renal insufficiency caused by bilateral upper urinary tract obstruction admitted to our hospital were analyzed retrospectively. Results The incidence of rural patients was 86%, significantly higher than that of urban patients (P <0.05). The main cause of obstruction is urinary tract stones. Ureteral catheterization, percutaneous nephrostomy and surgical drainage were performed as early as possible to relieve the obstruction. The cure rate was 88.5%, improvement rate was 11.5%, average hospitalization was 26.55 days, blood BUN and Cr returned to normal average 22.85 days, BUN, Cr decreased by 73.35% and 57.25% respectively. Conclusions Bilateral upper urinary tract obstruction caused by renal insufficiency is urgency severe urology, as soon as possible to lift the obstruction is conducive to the recovery of renal function.