Ⅱ期经皮输尿管镜治疗输尿管上段结石梗阻致孤立肾急性肾功能衰竭  

Stage Two Antiureterolithotripsy for Solitary Kidney of Acute Obstructive Renal Failure Caused by Upper Ureteral Calculi

作　　者：阳宁[1] 罗志刚[1] 刘水清[1] 陈仙[1] 龙丙衡[1] 龙向阳[1] 

机构地区：[1]南华大学第二附属医院泌尿外科,湖南衡阳421001

出　　处：《现代生物医学进展》2010年第2期337-338,共2页Progress in Modern Biomedicine

摘　　要：目的:探讨经皮肾微造瘘术后Ⅱ期经皮输尿管镜治疗输尿管上段结石致孤立肾急性肾功能衰竭的安全性与有效性。方法:从2004年7月～2009年5月,利用经皮肾微造瘘建立经皮肾通道,引流1周后肾功能明显好转,再行经皮肾输尿管镜碎石治疗孤立肾输尿管上段结石。结果:16例患者中,所有患者均为单通道取石,结石清除率例(81.2%),未出现高热、出血等并发症。术后1月复查13例无结石残留。结论:微创经皮输尿管镜分期治疗输尿管上段结石致孤立肾急性肾功能衰竭是安全、有效的,同传统经皮肾镜相比,具有对病人创伤小,易恢复等优点。Objective：To assess the safety and feasibility of two stage minimally invasive percutaneous antiureterolithotripsy in treating solitary kidney of acute obstructive renal failure caused by upper ureteral calculi. Method：We respectively investigated 16 patients with solitary kidney of acute obstructive renal failure caused by upper ureteral calculi from July 2004 to May 2009,who were treated by two stage with minimally invasive percutaneous antiureterolithotripsy,First the all was established mininephrostomy and drained,after a week,begun to operate while the renal function gradually became better. Results：Of 16 cases,81.2 % stone-free rate was achieved using one-stage minimally invasive percutaneous antiureterolithotripsy,no major complications were noted in the other patients.such as hyperpyrexia,blood loss.operation after a month,13 patients was rechecked without calculi residual. Conclusions：Minimally invasive percutaneous antiureterolithotripsy is safe and effective in treating solitary kidney of acute obstructive renal failure,compared to traditional PCNL,it may offer advantages with respect to less invasion and easy recovery.

关 键 词：经皮输尿管镜碎石术 孤立肾 急性梗阻性肾功能衰竭 输尿管上段结石 

分 类 号：R693.4[医药卫生—泌尿科学]