上尿路结石致急性肾功能衰竭的输尿管镜下激光治疗  

Treatment of Lithotripsy for Acute Renal Failure Resulting from Upper Urinary Calculi

作　　者：何翔[1] 王兵[1] 俞蔚文[1] 胡政麾[1] 

机构地区：[1]浙江省杭州市第一人民医院泌尿外科,310006

出　　处：《医学研究杂志》2008年第2期82-84,共3页Journal of Medical Research

摘　　要：目的探讨输尿管镜下双频双脉冲激光治疗上尿路结石并发急性肾功能衰竭的有效性和安全性。方法回顾性分析32例上尿路结石梗阻并发急性肾功能衰竭输尿管镜下双频双脉激光碎石的患者资料。结果术后31例患者血清BUN、Cr恢复正常或接近正常,尿量恢复正常,1例孤立肾3个月后复查仍处于氮质血症期,结石排尽率90.6%(29/32)。结论输尿管镜下双频双脉冲激光治疗上尿路结石梗阻并发急性肾功能衰竭具有疗效可靠、安全性高、组织损伤小,且可同时处理双侧结石,有条件者可作首选治疗方法。Objective To study and evaluate the therapeutic safety and effect of frequency - doubled - double - pulse laser（ FRED- DY） lithotripsy for treating upper urinary calculi combined with acute renal failure. Methods The clinical data of 32 cases treated by frequency - doubled - double - pulse laser（FREDDY） lithotripsy were retrospectively analyzed. Results After the operation the serum BUN and Cr levels in the patients got close or returned to normal and the free rate of the stones was up to 90.6% （29/32）. Conclusions The ureteroscopic frequency - doubled - double - pulse laser（FREDDY） lithotripsy has the advantage of safety, high efficiency and less trauma for treating the upper urinary tract obstruction combined with acute renal failure. It can also deal with the bilateral ureteral stones at one time. It can be the first choice when the condition is proper.

关 键 词：上尿路结石 双频双脉冲激光 碎石术 肾功能衰竭 

分 类 号：R692.5[医药卫生—泌尿科学] R781.2[医药卫生—外科学]