急性上尿路梗阻性无尿的诊治分析  

Acute upper urinary obstruction： diagnostic procedures and therapeutic management in anuria patients

作　　者：陈仰之[1] 张力峰[1] 邹建纲[1] 左立[1] 陈静[1] 史力[1] 潘敏杰 

机构地区：[1]南京医科大学附属常州第二人民医院泌尿外科,213003

出　　处：《国际医药卫生导报》2015年第16期2363-2365,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨急性上尿路梗阻性无尿的相关诊断和治疗经验.方法 总结2000年至2015年收治的急性上尿路梗阻性无尿或少尿患者共138例.输尿管结石96例,肾结核7例,恶性肿瘤转移浸润输尿管或肾盂29例,腹膜后纤维化3例,尿流改道术后输尿管梗阻3例.结果 手术治疗83例,包括肾造瘘术31例,输尿管切开取石或经输尿管镜碎石术37例,输尿管腹壁皮肤造口术7例,狭窄段输尿管切除膀胱再植8例;双J管内引流术54例,经造瘘口直接插管术1例.结论 该类患者引起的急性肾功能损害往往是可逆的,若采用合适的治疗方式能及时解除或缓解梗阻,大多数患者损害的肾功能将获得挽救.Objective To study the methods of diagnosis and treatment in acute upper urinary tract obstruction patients with anuria or oliguria.Methods 138 acute upper urinary tract obstruction patients with anuria or oliguria from 2000 to 2015 were selected,including 96 cases of urolithiasis,7 cases ofnephronophthisis,29 cases of malignant tumor metastasis,3 cases of retroperitoneal fibrosis and 3 cases of ureteral obstruction after urinary diversion.Results 83 patients underwent operation,including 31 cases of renal fistulation,37 cases of ureterolithotomy or holmium laser lithotripsy,7 cases of ureterostomy and 8 cases of ureterovesicostomy.There were 54 cases of double J stenting drainage,1 cases of ureteral catheterization from anastamosis.Conclusion Different therapy should be taken according to variant pathogenesis and pathogenicity in acute upper urinary tract obstruction patients.

关 键 词：尿路梗阻 无尿 诊断 

分 类 号：R691.2[医药卫生—泌尿科学]