输尿管梗阻致急性肾功能衰竭的临床观察  

The observation of acute renal failure caused by ureteral obstruction

作　　者：程宗三[1] 梁朝朝[2] 郝宗耀[2] 张小马 Cheng Zongsan;Liang Chaozhao;Hao Zongyao(Dept of Urology,The Forth Afiliated Hospital of Anhui Medical Uniwersity,Hefei 230011;Dept of Urology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022)

机构地区：[1]安徽医科大学第四附属医院泌尿外科,合肥230011 [2]安徽医科大学第一附属医院泌尿外科,合肥230022

出　　处：《安徽医科大学学报》2020年第8期1312-1314,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省自然科学基金面上项目(编号:1908085MH246)。

摘　　要：总结不同输尿管梗阻时间致急性肾功能衰竭的诊疗体会。回顾性分析85例输尿管梗阻致急性肾功能衰竭患者的临床资料。所有患者均成功解除梗阻,62例患者术后1周肾功能正常,梗阻≤1周组术后24 h尿量、肌酐、尿素氮下降值大于梗阻>1周组,且无透析患者;术后1月,梗阻≤1周组肾功能恢复正常例数多于梗阻>1周组。短时间输尿管梗阻所致急性肾功能衰竭,有效解除梗阻后患者预后较好。To summarize the diagnosis and treatment of acute renal failure caused by ureteral obstruction at different time.Retrospective analysis of 85 cases of acute renal failure caused by ureteral obstruction.The obstruction was successfully relieved in 85 cases,and the renal function was normal in 62 cases one week after operation.The decrease of urine volume,creatinine and urea nitrogen in 24 hours after operation in the group with obstruction≤1 week was significantly greater than that in the group with obstruction>1 week,and there were no dialysis patients;the number of positive cases in the group with obstruction≤1 week was significantly higher than that in the group with obstruction>1 week.The shorter obstruction time of acute renal failure caused by ureteral obstruction,the better prognosis after effectively removing the obstruction.

关 键 词：输尿管镜 输尿管梗阻 急性肾功能衰竭 

分 类 号：R693.2[医药卫生—泌尿科学] R692.5[医药卫生—外科学]