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目的探讨输尿管镜下双J管置入治疗急性上尿路梗阻的意义。方法 2008年10月至2011年3月,我院共确诊急性上尿路梗阻32例,其中输尿管结石26例,应用输尿管镜气压弹道或钬激光碎石,术后放置双J管;肿瘤腔外压迫6例,均在输尿管镜下成功放置双J管,达到引流目的。结果 32例患者均引流成功,梗阻迅速解除,病情短期内得以控制。结论输尿管镜技术在治疗急性上尿路梗阻并发感染、肾功能不全及晚期肿瘤腔外压迫输尿管引起双侧肾积水的患者具有安全、迅速、确切、损伤小等优点,还可能同时处理造成梗阻的结石,可作为此类疾病重要的治疗方法之一。
Objective To investigate the significance of ureteroscopic double J-tube placement in the treatment of acute upper urinary tract obstruction. Methods From October 2008 to March 2011, 32 cases of acute upper urinary tract obstruction were diagnosed in our hospital. Among them, 26 cases of ureteral calculi were treated with ureteroscopic pneumatic ballistic or holmium laser lithotripsy and double J tube was placed after operation. Compression in 6 cases, both in the ureteroscopic placement of double J tube, to achieve the purpose of drainage. Results 32 patients were successfully drained, the obstruction was quickly relieved, and the disease was controlled within a short period of time. Conclusions Ureteroscopy has the advantages of safe, rapid, exact and small injury in the treatment of patients with acute upper urinary tract obstruction complicated with infection, renal insufficiency and bilateral hydronephrosis caused by ureteral obstruction in late stage tumors. It may also treat the obstruction Of the stones, as one of the important treatment of such diseases.