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目的:探讨上尿路梗阻性少尿患者的处理。方法:分析58例上尿路梗阻性因素所致的少尿患者的临床资料。结果:26例结石患者综合使用膀胱镜逆行插管、输尿管镜碎石、体外震波碎石和开放手术均平稳取石;32例肿瘤患者中26例作尿流改道,逆行插管和B-US引导下穿刺的使用使得开放手术的必要性和危险性大为减少,但前者的近期失败几率较大(11/35),而且引流前后患者的病理生理状况改变极大。结论:要根据不同病因,选择合适的治疗方案,围手术期的病情观察与处理十分重要。
Objective: To investigate the treatment of upper urinary tract obstructive oliguria. Methods: Clinical data of 58 cases of oliguria caused by upper urinary tract obstruction were analyzed. Results: Twenty-six patients with stone were treated with retrograde cystoscopy, ureteroscopic lithotripsy, extracorporeal shock wave lithotripsy and open surgery. Twenty-six of 32 patients underwent urinary diversion, retrograde intubation and B-US guidance The use of inferior puncture makes the necessity and risk of open surgery greatly reduced, but the former is more likely to fail in the near future (11/35), and the patient’s pathophysiology changes greatly before and after drainage. Conclusion: According to different causes, choose the appropriate treatment options, perioperative disease observation and treatment is very important.