输尿管镜碎石治疗输尿管结石合并脓肾的体会  

Treatment of Pyonephrosis Due to Ureteral Calculi with Ureteroscopic Lithotripsy

作　　者：单斗联 屠民琦[2] 

机构地区：[1]新疆维吾尔自治区喀什地区第二人民医院,新疆喀什844000 [2]复旦大学上海市第五人民医院

出　　处：《中国医学创新》2012年第12期27-28,共2页Medical Innovation of China

摘　　要：目的:探讨采用输尿管镜碎石治疗输尿管结石合并脓肾的体会。方法:选择2009年5月-2011年10月在笔者所在科室接受诊治的18例输尿管结石合并脓肾患者,均采用输尿管镜下碎石取石术,并置管内引流。结果:采用微创内引流术中均未出现败血症、感染性休克症状。12例随访3个月～2年,所有患肾功能均有不同程度的恢复,无因患肾无功能而采取切肾者。结论:早期诊断、及时引流、解除梗阻是输尿管结石合并脓肾治疗的关键。输尿管镜碎石并留置双J导管是较好的解除梗阻的方法,其安全、并发症较少,可为Ⅱ期手术治疗创造良好的条件。Objective ： To improve the treatment of pyonephrosis due to ureteral calculi with ureteroscopic lithotripsy. Methods ： 18 patients with pyonephrosis due to ureteral calculi were treated with ureteroscopic lithotripsy followed by tube internal drainage during May 2009 to October 2011. Results ： No complications as septicemia and septic shock occurred during the external drainage. Following up from 3 months to 2 years showed that all of the 12 cases renal function recovered to different degree, and there were no nephrectomy. Conclusion ： The key to the treatment of pyonephrosis due to ureteral calculi operation is early diagnosis, timely drainage and relief of obstruction. Ureteroscopic lithotripsy and double-J placement are good choice to relieve obstruction, safe and with little complication, and can create good conditions for the second stage operation.

关 键 词：输尿管镜 碎石术 输尿管结石 脓肾 

分 类 号：R699[医药卫生—泌尿科学]