结石性脓肾不同腔内技术治疗方法的选择  

Different choices of endoscopic therapy for calculous pyonephrosis

作　　者：黄海[1] 周建辉[1] 黄文胜[1] 鄢羽中[1] 胡明明[1] 

机构地区：[1]常德市第一人民医院,湖南常德415003

出　　处：《湖南中医药大学学报》2012年第6期41-43,共3页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨如何选择不同腔内技术治疗结石性脓肾。方法结石性脓肾患者35例,分别采用经输尿管镜支架置入术、经皮肾造瘘术、经皮肾镜取石术、经输尿管镜碎石取石术进行1期或分期治疗。结果 35例患者术后感染均得到控制,8例肾功能不全的患者肾功能得到改善,未发生感染性休克等严重并发症。1年后33例获随访,其中4例最终切除患肾。结论根据患者全身情况、感染严重程度、结石大小、梗阻部位及程度来制订个体化方案,选择不同的腔内技术治疗方法,决定是否分期手术。Objective To study how to choose different endoscopic therapies for calculous pyonephrosis. Methods 35 patients suffering from calculous pyonephrosis were treated with one stage or multistage therapies by endoscopic techniques,such as Double-J ureteral stenting with ureterscope, percutaneous nephrostomy, ercutaneous nephrolithotomy, and ureterscope lithotripsy. Results Infections of 35 patients were controlled. Renal functions of 12 patients which had renal disfuction were improved. No patient had septic shock. 33 cases were followed up after 1 year, during which 4 patients were treated with nephrectomy finally. Conclusion For treatment of calculous pyonephrosis,individual regimen which involves different endoscopic techniques should be designed based on general condition, severity of infection, size of stone, and obstruction state.

关 键 词：脓肾 尿路结石 腔内技术 治疗 

分 类 号：R692.4[医药卫生—泌尿科学]