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目的探讨输尿管结石梗阻致急性无尿的诊断、治疗及预后。方法对 1990年 1月至1999年 3月收治的输尿管结石梗阻致急性无尿病人 49例进行总结、分析。结果本组经输尿管镜取石 2 8例、体外冲击波碎石 (ESWL)治疗 6例、输尿管镜配合ESWL治疗 3例 ,均获成功 ,无并发症 :开放性手术取石 12例 ,5例发生并发症。梗阻解除后 34例 (6 9 4% )病人肾功能在 5～ 10天内恢复正常。结论输尿管结石梗阻致急性无尿的治疗应及早解除梗阻 ,挽救肾功能 ,尽量避免开放性手术取石。输尿管镜对本病的诊断、治疗有重要价值。原有慢性肾功能减退或急性梗阻解除前滥用利尿剂者 ,预后较差。
Objective To investigate the diagnosis, treatment and prognosis of acute anuria caused by ureteral calculi obstruction. Methods From January 1990 to March 1999, 49 cases of ureteral obstruction caused by acute urineless patients were summarized and analyzed. Results The group of ureteroscopic removal of stones in 28 cases, extracorporeal shock wave lithotripsy (ESWL) in 6 cases, ureteroscopy combined with ESWL in 3 cases, were successful, no complications: open surgery in 12 cases of stone, 5 cases of complications . After the obstruction was relieved, 34 cases (69.4%) of patients with renal function returned to normal within 5 to 10 days. Conclusions Ureter stone obstruction caused by acute anuria should be relieved of obstruction as soon as possible to save the renal function and try to avoid open surgery stone removal. Ureteroscopy on the diagnosis of the disease, treatment has important value. The original chronic renal failure or acute obstruction before the abolition of diuretics abuse, the prognosis is poor.