孤立肾急性梗阻性无尿诊治分析  

Clinical analysis of acute obstructive anuria in solitary kidnery

作　　者：虞永江[1] 齐隽[1] 陈方[1] 陈建华[1] 刘建河[1] 白强[1] 黄云腾[1] 

机构地区：[1]上海交通大学医学院新华医院泌尿外科,上海200092

出　　处：《上海交通大学学报（医学版）》2008年第10期1308-1310,共3页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的探讨孤立肾急性梗阻性无尿的诊治经验。方法回顾分析5年来收治的孤立肾急性梗阻性无尿患者15例,对其临床表现、实验室及影像学检查结果、手术方法以及围手术期处理原则进行总结分析。结果15例孤立肾患者急诊手术解除梗阻3 d后,13例(86.7%)肾功能恢复正常,其中11例结石患者通过输尿管镜术、经皮肾穿刺术以及二期手术在1月内成功去除结石,4例肿瘤患者通过输尿管镜置管或经皮肾穿刺造瘘解除了梗阻。结论孤立肾患者出现梗阻性无尿时病情进展很快,肾功能损害重,治疗时应尽早解除梗阻,最大限度保护肾功能,手术方法首选微创治疗。Objective To study the treatment principle of acute obstructive anuria in solitary kidney patients. Methods The data of 15 patients with acute obstructive anuria in solitary kidney were retrospectively analysed. The clinical presentations, laboratory and imaging findings, surgical approaches and perioperative treatment principles were summarized and analysed. Results Three days after the obstruction was released by emergency operation, renal function of 13 of the 15 patients （86.7%） recovered. Of all the patients suffered from calculi, 11 were cured by ureteroscopic lithotripsy （ URS）, percutaneous nephral lithotripsy （PCNL） or second stage PCNL, and the other 4 suffered from tumor were cured by URS or PCNL fistulation. Conclusion The progression of anuria in solitary kidney is fast and the renal function is seriously deteriorated in a short period. The release of ureteral obstruction should be achieved earlier to prevent the renal function from further damage, and minimal - invasive operations are of the first choice.

关 键 词：孤立肾 梗阻性无尿 诊治分析 

分 类 号：R699[医药卫生—泌尿科学]