急性肾绞痛致一过性肾功能受损的临床观察  

Clinical Observation of Transient Renal Function Impairment Caused by Acute Renal Colic

作　　者：黄慧[1] 潘晖[1] 钟光俊[1] 成少平[1] 刘昌茂[1] 周章炎[1] 

机构地区：[1]荆州市第一人民医院泌尿外科,湖北荆州434000

出　　处：《医学新知》2016年第4期275-276,共2页New Medicine

摘　　要：目的：探讨急性肾绞痛患者一过性肾功能受损的原因，并选择高效的诊断方案。方法选择120例急性肾绞痛合并肾功能异常的患者，通过观察患者肾功能恢复情况，结合患者静脉尿路造影（ IVU）、逆行插管肾盂造影及薄层泌尿系 CT 平扫﹢3D 重建（以下简称泌尿系 CT3D）的影像资料，分析急性肾绞痛对患者肾功能的影响，以及 IVU 及泌尿系 CT3D 在急性肾绞痛病因诊断中的价值。结果120例急性肾绞痛患者中，102例（约占85%）患者存在一过性肾功能受损，泌尿系 CT3D 在急性肾绞痛病因诊断中优势明显。结论急性肾绞痛使肾脏分泌功能暂时性减退或丧失，从而导致一过性肾功能受损，泌尿系 CT3D 能快速有效明确急性肾绞痛病因诊断。Objective To investigate the causes of transient renal function impairment in patients with acute re-nal colic,and select the effective diagnostic schemes. Methods 120 patients with acute renal colic complicated with abnormal renal function were selected. The impact of acute renal colic to renal function and the value of IVU and uri-nary CT3D in the diagnosis of acute renal colic were analyzed through observing renal function recovery,intravenous urography（IVU）,retrograde pyelography and urinary CT3D. Results 102 patients（about 85% ）had transient renal impairment in 120 patients with acute renal colic. Urinary CT3D had obvious advantages in the diagnosis of acute re-nal colic. Conclusion Acute renal colic causes transient renal function impairment by affecting temporary loss of kid-ney secretion function. Urinary CT3D can diagnose the etiology of acute renal colic definitely and effectively.

关 键 词：肾绞痛 肾功能 肌酐 CT3D 重建 

分 类 号：R692.4[医药卫生—泌尿科学]