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目的探讨输尿管镜在上尿路结石致急性梗阻性肾衰竭中的应用价值。方法采用输尿管镜直视下酌情取石、气压弹道碎石或将结石推回肾盂并留置双J管内引流等方法治疗上尿路结石致急性梗阻性肾衰竭34例。结果34例患者术后尿量有不同程度恢复,肾功能均恢复正常或接近正常,无明显并发症出现。结论输尿管镜诊治上尿路结石致急性梗阻性肾衰竭,具有安全可靠、疗效好、损伤小的优点,同时能处理双侧输尿管病变,可作为首选治疗方法。
Objective To investigate the value of ureteroscopy in acute obstructive renal failure caused by upper urinary calculi. Methods Thirty-four cases of acute obstructive renal failure caused by upper urinary calculi were treated with ureteroscopy under discretional lithotripsy, pneumatic lithotripsy or pushing stone back into renal pelvis with double J tube drainage. Results The postoperative urine volume of 34 patients recovered to some extent, and the renal function returned to normal or near normal without any obvious complications. Conclusions The ureteroscopic diagnosis and treatment of acute obstructive renal failure caused by upper urinary calculi has the advantages of safety and reliability, good curative effect and small injury. At the same time, ureteroscopy can treat bilateral ureteral lesions as the first choice of treatment.