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目的泌尿系统结石是一种常见病,发病率可达2%-3%,同时根据具体的发病部位,又可分为上尿路结石和下尿路结石,前者发病率明显高于后者。回顾分析40位由于患上尿路结石病而引发急性梗阻性肾功能衰竭的患者的病情以及医院所采取的具体治疗方法,分析了B超引导下经皮穿刺肾造瘘、ESWL、输尿管镜下碎石或插管、开放手术处理这几种治疗方法的实际治疗效果以及术后的恢复状况。疗效23位患者的肾功能获得了很好的恢复;13位患者的肾功能状况获得了很好的改善,但是有4位患者的恢复状况不理想。并且比较各种治疗方法,我们发现这些手术的治疗效果基本上差别不大,但是就手术对肾脏造成的危害以及手术后并发症的发病率而言,经皮穿刺肾造瘘、输尿管镜下碎石手术明显低于其他两种手术。结果考虑到患者的实际情况以及发病原因,目前针对该病症的治疗中,腔内手术及经皮穿刺肾造瘘为最优秀的治疗方法。现就其并发症治疗时所应采取的方法以及具体的疗效进行讨论。
Purpose Urinary calculi is a common disease, the incidence rate of up to 2% -3%, according to the specific site of incidence, but also can be divided into upper urinary tract stones and lower urinary tract stones, the former was significantly higher incidence of the latter. Retrospective analysis of 40 patients suffering from urinary tract stone disease caused by acute obstructive renal failure patients and the specific treatment taken by the hospital to analyze the B-guided percutaneous nephrostomy, ESWL, ureteroscopy Gravel or intubation, open surgery to deal with the actual treatment of these types of treatment and postoperative recovery status. Efficacy Renal function was well restored in 23 patients; renal function improved significantly in 13 patients, but recovery was unsatisfactory in 4 patients. And compare the various treatment methods, we found that the treatment effect of these operations is basically not very different, but the harm caused by surgery on the kidney and the incidence of postoperative complications, percutaneous nephrostomy, ureteroscopic broken Stone surgery was significantly lower than the other two operations. Results taking into account the actual situation of patients and the causes of the disease, the current treatment of the disease, endovascular surgery and percutaneous nephrostomy for the best treatment. Now the treatment of complications should be taken as well as the specific efficacy of the treatment were discussed.