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目的 分析评价上尿路尿酸结石所致的急性梗阻性肾功能不全的微创治疗方法。方法 总结采用B超引导下经皮肾穿刺造瘘、输尿管镜下气压弹道碎石或置管、经皮肾镜下碎石外科微创方法治疗上尿路尿酸结石急性梗阻性肾功能不全 2 5例的临床资料。结果 2 5例上尿路梗阻得以及时解除 ,肾功能得以最大恢复 ,避免了传统的开放手术。结论 B超引导下经皮肾穿刺造瘘、输尿管镜下气压弹道碎石或置管、经皮肾镜下碎石是治疗上尿路尿酸结石所致的急性梗阻性肾功能不全的首选方法。
Objective To analyze and evaluate the minimally invasive treatment of acute obstructive renal insufficiency caused by upper urinary tract uric acid stones. MethodsTo summarize the use of B-guided percutaneous nephrostomy, ureteroscopic pneumatic lithotripsy or catheterization, percutaneous nephrolithotomy with minimally invasive surgical treatment of upper urinary uric acid stones in acute obstructive renal insufficiency2 5 Cases of clinical data. Results 25 cases of upper urinary tract obstruction was promptly lifted, the maximum recovery of renal function, to avoid the traditional open surgery. Conclusion B-guided percutaneous nephrostomy, ureteroscopic pneumatic lithotripsy or catheterization, percutaneous nephrolithotomy is the preferred method of treatment of acute obstructive renal insufficiency caused by uric acid stones in the upper urinary tract.