输尿管镜联合钬激光治疗结石性输尿管梗阻并发急性肾功能衰竭  

Ureteroscopy Holmium Laser Lithotripsy in the Treatment of Acute Renal Failure Due to Ureteral Stones Obstruction

作　　者：晏湘山[1] 严春寅[2] 谢锦来[1] 李励献[1] 

机构地区：[1]莆田学院附属医院,福建莆田351100 [2]苏州大学附属第一医院

出　　处：《中外医学研究》2015年第27期28-29,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨输尿管镜下钬激光碎石治疗结石性输尿管梗阻所致急性肾功能衰竭的疗效。方法:应用输尿管镜钬激光碎石治疗结石性输尿管梗阻引起的急性肾功能衰竭30例。结果:30例患者均成功解除梗阻,术后肾功能恢复或改善,血清尿素氮、肌酐均恢复正常或接近正常,尿量恢复正常。28例钬激光碎石成功,2例输尿管上段结石部分进入肾盂肾盏,术后体外冲击波碎石,结石顺利粉碎并排出。结论:输尿管镜下钬激光碎石治疗结石性输尿管梗阻并发急性肾功能衰竭,是一种微创、安全而有效的治疗方法。Objective：To evaluate the clinical efficacy of ureteroscopic holmium laser lithotripsy in the treatment of acute renal failure due to ureteral stones obstruction.Method：30 patients with acute renal failure caused by ureteral stones obstruction were treated with transurethral ureteroscopic holmium laser lithotripsy.Result：The obstruction of 30 cases were released completely.Renal function return to normal or near normal after treatment, blood urea nitrogen and creatinine are back to normal or near normal,urine volume of patients return to normal.Successful lithotripsy were made in 28 cases immediately.Few residual stones were founded in the renal pelvis in 2 case.The residual stones were spontaneously expelled after extracorporeal shock wave lithotripsy（ESWL）.Conclusion：Ureteroscopic holmium laser lithotripsy is a minimally invasive,safe and effective treatment methods for acute renal failure due to ureteral stones obstruction.

关 键 词：输尿管镜 钬激光 输尿管梗阻 急性肾功能衰竭 

分 类 号：R699[医药卫生—泌尿科学]