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因上尿路结石引起的梗阻性少尿和无尿136例。其主要原因是双侧上尿路结石或独肾、功能性独肾合并结石。根据临床表现、KUB、B超及逆行肾盂造影可对其作出诊断。其治疗原则是尽早解除梗阻、引流尿液,最大限度地挽救肾功能。双侧结石梗阻者应争取同时施行双侧取石术,分期手术只适应于一般情况较差的双侧复杂肾结石患者,当一侧施行手术后,应尽早对侧取石手术.对于病情危重、不能耐受手术者,可先行透析疗法,待一般情况好转后再行手术治疗。
Urinary tract obstruction due to urinary tract obstruction and urinary 136 cases. The main reason is the bilateral upper urinary tract stones or single kidney, functional single renal consolidation stones. According to clinical manifestations, KUB, B ultrasound and retrograde pyelography can make a diagnosis. The treatment principle is to lift the obstruction as soon as possible, drainage of urine, to maximize renal function. Bilateral stone obstruction should seek simultaneous bilateral lithotomy, staging surgery is only adapted to patients with poor bilateral general complex kidney stones, when the side of the operation, the contralateral stone surgery as soon as possible.For the critical condition, can not Those who tolerate surgery can be dialysis therapy, to be improved after the general surgery before surgery.