输尿管镜在急性梗阻性肾功能衰竭中的效果分析  

Effect of ureteroscopy in acute obstructive renal failure

作　　者：邓月云 李秀宁 

机构地区：[1]广东省云浮市人民医院泌尿外科,广东云浮527300

出　　处：《中国当代医药》2017年第7期88-90,共3页China Modern Medicine

摘　　要：目的探讨输尿管镜治疗上尿路梗阻所致急性肾功能衰竭的效果。方法选取2013年4月~2016年5月在云浮市人民医院行输尿管镜治疗的急性梗阻性肾功能衰竭的患者47例,比较所有患者手术前后不同时间点肾功能指标尿素氮、肌酐的情况,并评估治疗效果。结果所有患者均成功完成手术,术后尿素氮、肌酐均有不同程度下降,6例在术后3 d肌酐降至正常,26例在术后7 d肌酐降至正常,随访6个月,32例尿素氮及肌酐降至正常,术后无输尿管穿孔、断裂、撕脱等并发症发生。尿素氮和肌酐在术后进行性下降,差异有统计学意义(P<0.01)。结论输尿管镜技术治疗急性梗阻性肾功能衰竭的安全性和有效性高,可快速解除梗阻、引流尿液,保护肾功能,可作为上尿路梗阻导致急性肾功能衰竭的首选治疗方法。Objective To investigate the effect of ureteroscopy in the treatment of acute renal failure caused by upper urinary tract obstruction.Methods 47 cases with acute obstructive renal failure who underwent ureteroscopy from April 2013 to May 2016 were collected from Yunfu People＇s Hospital.All the different time points before and after surgery in patients with renal function indexes of urea nitrogen,creatinine were compared,and treatment effect was evaluated.Re- suits All patients were successfully completed the ureteroscopy operation,urea nitrogen and creatinine were decreased in varying degrees after operation,creatinine was decreased to normal at 3 d after operation in 6 patients,and 26 patients were fell to normal at 7 d after operation.Followed up for 6 months,the urea nitrogen and creatinine of 32 patients were decreased to normal,no one with complication like ureteral perforation,fracture,avulsionafter operation.Urea nitrogen and creatinine were decreased gradually after ureteroscopy operation,wlth significant differences（P〈0.01）. Conclusion Ureteroscopy is safe and effective for the treatment of acute obstructive renal failure.h can quickly relieve ureteral ob- struction,drain urine and protect renal function.It can be the first choice for acute renal failure caused by upper urinary tract obstruction.

关 键 词：输尿管镜 上尿路梗阻 急性肾功能衰竭 

分 类 号：R692[医药卫生—泌尿科学]