尿崩症继发尿路扩张的诊治进展  

Progress in diagnosis and treatment of urinary tract dilatation secondary to diabetes insipidus

作　　者：董皓 李学松[1] DONG Hao;LI Xuesong(Department of Urology,Peking University First Hospital,Beijing,100034,China)

机构地区：[1]北京大学第一医院泌尿外科,北京100034

出　　处：《临床泌尿外科杂志》2025年第3期238-241,共4页Journal of Clinical Urology

摘　　要：尿崩症(diabetes insipidus,DI)患者可因发生双侧肾盂和输尿管扩张积水、巨大膀胱、尿潴留等并发症就诊于泌尿外科,该类并发症临床少见且表现与泌尿系梗阻和神经源性膀胱类似,误诊误治的情况时有发生。以药物为代表的内科治疗是治疗DI继发尿路扩张的常规手段,部分患者因发生泌尿道器质性改变、反复泌尿系感染以及肾功能恶化而需要接受泌尿外科手术治疗,本文根据现有临床报道对DI继发尿路扩张的发病机制、临床表现、辅助检查以及治疗手段等方面进行综述,以期为此类疾病的诊断和治疗提供理论依据和科学指导。Diabetes insipidus(DI) could present with bilateral hydroureteronephrosis,megacystis and urine retention,which leads to patients' consultation with urologists.This situation is clinically rare and similar to urinary tract obstruction and neurogenic bladder,so misdiagnosis and mistreatment still occur.Medicinal treatment is the most essential modality for urinary tract dilatation secondary to DI,but some patients still require urological surgery because of anatomic changes in urinary tract,recurrent urinary infections and renal dysfunction.According to the current clinical research,this article systematically reviews the pathogenesis,manifestation,auxiliary examination and therapeutic strategies for urinary tract dilatation secondary to DI,trying to provide theoretical basis and scientific guidance for the diagnosis and treatment of this disease.

关 键 词：尿崩症 尿路扩张 并发症 个体化治疗 

分 类 号：R693[医药卫生—泌尿科学]