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上尿路结石所致急性梗阻性肾功能不全的微创手术治疗
引用本文:张年. 上尿路结石所致急性梗阻性肾功能不全的微创手术治疗[J]. 中外医疗, 2016, 0(24). DOI: 10.16662/j.cnki.1674-0742.2016.24.067
作者姓名:张年
作者单位:沭阳县中医院泌尿外科,江苏宿迁,223600
摘    要:目的:探讨微创手术治疗上尿路结石所致急性梗阻性肾功能不全的效果。方法整群选取并回顾性分析2014年11月—2015年11月在该院采取微创手术治疗的76例上尿路结石导致的急性梗阻性肾功能不全患者的临床病例资料,比较患者术前术后尿量、生命体征、血象和肾功能等变化情况。结果76例患者采取经皮肾造瘘以及输尿管逆行插管引流术治疗后尿路梗阻均成功解除,邻近器官未见大出血和大损伤以及败血症等并发症出现,术后患者生命体征平稳,尿路梗阻解除后患者血尿氮、血清肌酐等肾功能指标均明显改善,尿量较前显著增多,术前术后比较差异具有统计学意义(P﹤0.05)。结论早期解除尿路梗阻以及联合使用抗菌药物是治疗上尿路结石导致的肾功能不全并发肾感染积脓患者的处理原则,采用经皮肾造瘘术和输尿管插管引流术等微创手术治疗有助于改善患者肾功能和生命体征。

关 键 词:上尿路结石  急性梗阻  肾功能不全  微创手术疗法

Upper Urinary Tract Obstruction Caused by Acute Renal Insufficiency of Minimally Invasive Surgery
Abstract:Objective Discussion on minimally invasive surgical treatment of urinary tract calculi induced acute obstructive renal insufficiency results. Methods Group selection retrospective analysis November 2014 — November 2015 to take on minimally invasive surgical treatment of 76 cases of urinary tract stones obstruction caused by acute renal insufficiency in patients with clinical data, compared before and after surgery in patients with urine in our hospital, vital signs, blood and kidney function changes. Results 76 patients taking percutaneous nephrostomy and retrograde ureteral catheterization drainage treatment of urinary tract obstruction were successfully released, adjacent organs and no large damage and bleeding complications such as sepsis, patients with stable vital signs, urinary tract obstruction after the lifting of patients blood urea nitrogen, serum creatinine, and other renal function parameters were significantly improved, significantly increased urine output than before, after the preoperative difference was statistically significant (P<0.05).Conclusion Early relieve urinary tract obstruction and joint use of antibiotics is the treatment of urinary tract stones cause kidney dysfunction in patients with renal infection empyema principles, percutaneous nephrostomy and ureteral catheterization drainage and other minimally in-vasive surgical treatment help improve renal function and vital signs.
Keywords:Upper urinary tract  Acute obstruction  Renal insufficiency  Minimally invasive surgical therapy
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