论文部分内容阅读
目的:探讨上尿路结石致急性梗阻性肾功能不全的诊断和治疗手段的选择以及预后。方法:回顾性分析2004年1月～2008年10月收治的57例上尿路结石致急性梗阻性肾功能不全患者的临床资料,分别通过膀胱镜逆行插管、输尿管镜碎石、开放取石、血液透析等方法处理。结果:57例患者经相关处理后均获得一定疗效,肾功能均较前有所改善。其中27例肾功能完全恢复正常,23例肾功能处于代偿期,5例处于失代偿期,1例处于衰竭期,1例需永久透析。结论:对于上尿路结石致急性梗阻性肾功能不全患者,应尽快明确诊断,严格把握治疗原则,选择适当的治疗方法,可以获得良好的疗效。
Objective: To explore the diagnosis and treatment of acute obstructive renal insufficiency caused by upper urinary tract calculi and its prognosis. Methods: The clinical data of 57 patients with acute obstructive renal insufficiency who were treated with upper urinary tract calculi from January 2004 to October 2008 were analyzed retrospectively. The patients underwent retrograde cystoscopy, ureteroscopic lithotripsy, open stone extraction, Hemodialysis and other methods of treatment. Results: After treatment, 57 patients achieved certain curative effect and renal function improved compared with the former. Among them, 27 cases had complete recovery of renal function, 23 cases had decompensated renal function, 5 cases were decompensated, 1 case was in failure, and 1 case required permanent dialysis. Conclusion: Patients with acute obstructive renal dysfunction caused by upper urinary tract calculi should be diagnosed as soon as possible and the principle of treatment should be rigorously controlled. Choosing the appropriate treatment can achieve a good therapeutic effect.