双侧上尿路全程扩张的临床分析和处理  

Clinical analysis and treatment of bilateral upper urinary tract dilatation

作　　者：徐文超[1] 谢青南[1] 杜信毅[1] 李铁强[1] 

机构地区：[1]河南大学淮河医院泌尿外科,河南开封475000

出　　处：《临床泌尿外科杂志》2007年第9期692-693,696,共3页Journal of Clinical Urology

摘　　要：目的:探讨双侧上尿路全程扩张的病因、临床诊断、鉴别诊断和治疗方法。方法:回顾性分析近3年临床所见双侧上尿路全程扩张患者25例的临床资料,并结合文献复习予以讨论。结果:根据腔内、腔外梗阻及非梗阻因素所致双侧上尿路全程扩张的诊断,采取药物、自我导尿、留置输尿管支架管、微创或手术治疗等解除梗阻或非梗阻因素,均取得良好效果。结论:双侧上尿路全程扩张病因复杂,明确诊断十分重要,有利于选择合适的治疗方法。Objective：To study the etiology, clinical diagnosis, differential diagnosis and treatment of bilateral upper urinary tract dilatations. Methods：Clinical data of 25 cases of patients with bilateral upper urinary tract dila tation were reviewed retrospectively. Results：The causes of bilateral upper urinary tract dilatation can be divided in to 3 categories： intrinsic obstruction.extrinsic obstruction and nonobstructive factors. Treatments include relieving the obstruction or nonobstruction with medicine, selfcatheterization, placememt of the ureter stents, minimal invasion or incisional surgery resulting in performed different. Conclusions：Causes of bilateral upper urinary tract dilatations were complex. The theraputic procedures were obviously different.

关 键 词：上尿路扩张 尿路梗阻 诊断 治疗 

分 类 号：R691.2[医药卫生—泌尿科学]