应用输尿管镜急诊处理梗阻性肾衰(附24例报告)  

Ureteroscopic manipulation for treatment of acute renal failure (report of 24 cases)

作　　者：辛军[1] 辛明华[2] 黄书堤[2] 蔡经爽[2] 陈迦南[2] 于立新[1] 

机构地区：[1]广州第一军医大学南方医院,广东广州510000 [2]福建泉州市第一医院,福建泉州362000

出　　处：《中国内镜杂志》2004年第2期39-40,44,共3页China Journal of Endoscopy

基　　金：福建省泉州市科技项目Z2 0 0 2 2 5

摘　　要：目的　总结应用输尿管镜急诊行腔内治疗梗阻性肾功能衰竭的经验。方法　对上尿路梗阻性肾衰急诊行输尿管镜检查、气压弹道碎石、经皮肾微造瘘输尿管上段取石、留置双J管等治疗。结果　梗阻性肾衰患者 2 4例 ,血肌酐 5 2 0～ 186 0 μmol/L ,血尿素氮 17.6～ 5 0 .6mmol/L。经上述治疗效果满意 ,无明显并发症。术后 2 4h尿量 2 6 0 0～ 6 2 0 0ml,术后 1～ 2周肾功能恢复正常 18例 ,6例血肌酐 2 0 0～ 32 0 μmol/L。 结论　应用输尿管镜技术治疗梗阻性肾衰疗效好、创伤小、安全可靠 ,可作为该病的重要治疗方法。Objective: To summarize the experiences of emergency treatment of obstructive renal failure by means of ureteroscopic manipulation.Methods:The patients of obstructive renal failure of upper urinary tract were treated using endoscopic manipulation such as ureteroscopy ,pneumatic lithotripsy ,percutaneous ureterolithotomy and double J catheter placing.Results:Twenty-four cases of obstructive renal failure were treated by above methods. Serum creatinine before treatment was 520～1860μ mol/L and blood urea nitrogen was 17.6～50.6 mmol/L.Satisfactory results have been observed. 24h urine output reached 2600～6200ml after treatment. Normal renal function have been regained in 18 cases whereas serum creatinine dropped to 200～320μmol/L within 1 to 2 weeks.Conclusions:Ureteroscopic manipulation is believed to be a safe,minimal invasive and effective method for the treatment of obstructive renal failure.

关 键 词：输尿管镜 肾功能衰竭 

分 类 号：R692.5[医药卫生—泌尿科学]