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目的观察输尿管镜急诊治疗输尿管结石致急性梗阻性无尿的临床效果。方法2003年1月～2008年1月,对36例输尿管结石致急性梗阻性无尿患者进行输尿管镜取石术治疗。结果33例输尿管镜取石术操作成功,3例患者操作失败而改其他方法治疗,成功率91.7%。解除梗阻,恢复排尿,最大限度地保护了肾功能。发生并发症3例,其中输尿管穿孔2例,采取保守治疗,随访3～10个月未发现输尿管狭窄;感染性休克1例,治疗后痊愈。结论输尿管镜取石术治疗输尿管上段结石引起的急性梗阻性无尿,理想、安全、有效。
Objective To observe the clinical effect of ureteroscopic emergency treatment of ureteral calculi induced acute obstructive anuria. Methods From January 2003 to January 2008, 36 cases of ureteral calculi caused acute obstructive anuria were treated by ureterolithotomy. Results 33 cases of ureteroscopic lithotomy operation was successful, 3 patients failed to change the operation of other methods, the success rate of 91.7%. Lift the obstruction, restore urination, to maximize the protection of renal function. Complications occurred in 3 cases, including ureteral perforation in 2 cases, conservative treatment, followed up for 3 to 10 months did not find ureteral stricture; septic shock in 1 case, cured after treatment. Conclusions Ureteroscopic lithotripsy is an ideal, safe and effective method for the treatment of acute obstructive anuria caused by upper ureteral calculi.