输尿管急性梗阻致尿外渗急性腹膜炎10例治疗体会

目的 提高对输尿管急性梗阻导致尿外渗急性腹膜炎的认识,分析其发病机制、诊断和治疗方法. 方法 回顾性分析10例输尿管急性梗阻导致尿外渗腹膜炎的治疗过程.9例手术解除梗阻,放置双J管.1例膀胱镜下取出输尿管开口处结石,放置双J管引流. 结果 10例患者梗阻解除后,恢复良好无并发症发生. 结论 输尿管急性梗阻导致尿外渗腹膜炎以上尿路结石为多见,原则上应积极解除上尿路梗阻,充分引流外渗尿液.

Acute ureterpelvic obstruction causes in acute peritonitis by urine infiltration (report of 10 cases)

Objective To improve the diagnosis and treatment of acute peritonitis resulting from acute ureterpelvic obstruction. Methods The clinical date of 10 cases with acute ureterpelvic obstruction were analyzed retrospectively, the treatment included surgical exploration (9patients) and removing calculus via cyctoscope, all of them were plated double-J tube. Results After having been removed obstruction, all the patients recovered and with no complications. Conclusions Acute peritonitis caused by urine infiltration of acute ureterpelvic obstruction is caused mostly by upper urinary calculus. The best treatment is to remove obstruction and urine drain.