上尿路结石致急性梗阻性无尿的腔内治疗  

Treatment of acute obstructive anuria induced by upper urinary tract calculi with endoscopy

作　　者：王仙友[1] 孙方浒[1] 卢思保[1] 陈安屏[1] 曾国华[2] 申鹏飞[3] 

机构地区：[1]温州医学院附属浙江省台州医院泌尿外科,浙江台州317000 [2]广州医学院第一附属医院微创外科中心泌尿外科,广东广州510230 [3]中南大学湘雅医院泌尿外科,湖南长沙410008

出　　处：《中国内镜杂志》2008年第8期823-825,共3页China Journal of Endoscopy

摘　　要：目的探讨腔内技术治疗上尿路结石致急性梗阻性无尿的临床效果。方法25例急性上尿路梗阻性无尿患者在该院接受了腔内治疗,21例行输尿管镜取石术,4例接受了微创经皮肾取石术。结果术后患者当日就有尿液排出,最多每日6800mL/d,辅助治疗后血肌酐下降至82～260μmol/L。结论上尿路结石致急性梗阻性无尿需要尽早解除梗阻,而腔内技术提供了一种安全有效的微创方法。[Objective] To investigate the safety and feasibility of endoscopic treatment for acute obstructive anuria induced by upper urinary tract calculi. [Methods] From February 2004 to April 2007, 25 cases with acute obstructive anuria induced by upper urinary tract calculi received endoscopic treatment, 21 cases were treated with ureteroscopy and 4 cases with minimallly invasive percutaneous nephrolithotomy. [Results] All the cases were rendered obstruction free and had urination, the creatine declined to 82~260...

关 键 词：上尿路梗阻 无尿 输尿管镜术 经皮肾取石术 

分 类 号：R699[医药卫生—泌尿科学]