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目的:探讨双侧上尿路结石性梗阻的治疗方法。方法:对35例双侧上尿路结石性梗阻患者,根据病情的不同,分别急诊行经输尿管镜下气压弹道碎石加双J管置入、经皮肾穿刺造瘘、体外冲击波碎石和(或)开放手术治疗。结果:全部病例均及时解除了上尿路梗阻,30例治愈出院;4例肾功能改善,但仍然维持在氮质血症水平;1例拒绝进一步治疗,因感染和肾功能衰竭而死亡。结论:对双侧上尿路结石性梗阻应灵活采用治疗方法,提高疗效;输尿管镜在处理本病上具有特别重要的作用。
Objective: To explore the treatment of bilateral upper urinary calculi obstruction. Methods: 35 patients with bilateral upper urinary calculi obstruction, according to the different conditions, respectively, underwent ureteroscopic pneumatic lithotripsy and double J tube placement, percutaneous nephrostomy, extracorporeal shock wave lithotripsy and ( Or) open surgery. Results: All cases were promptly relieved of upper urinary tract obstruction, and 30 patients were cured. Four patients improved renal function, but still maintained the level of azotemia. One patient refused further treatment and died of infection and renal failure. Conclusion: Bilateral upper urinary tract calculi obstruction should be flexible treatment methods to improve the efficacy; ureteroscopy in the treatment of this disease has a particularly important role.