孤立肾急性肾后性肾衰的早期诊断和微创治疗

目的:探讨孤立肾急性肾后性肾衰的早期诊断和微创治疗方案的选择和效果。方法:回顾性分析1997年10月～2007年4月孤立肾急性肾后性肾衰患者17例的诊断和微创治疗方法。结果:17例经治疗后肾功能均恢复正常。无术后并发症。前列腺增生症(BPH)伴急性尿潴留2例,1例治疗12天后肾功能恢复正常,1例18天后恢复正常。后尿道结石4例,治疗7～9天后肾功能恢复正常,平均为8.6天。肾盂输尿管交界部结石1例,治疗6天后肾功能恢复正常。输尿管结石5例,治疗9～13后肾功能恢复正常,平均为103天。妇科盆腔肿瘤5例,治疗3～22天后肾功能恢复正常,平均为15.6天。结论:超声是孤立肾肾后性肾功能衰竭首选的检查方法。应用超声、膀胱尿道镜、泌尿系平片(KUB)、逆行性尿路造影(RGP)、CT、磁共振泌尿系水成像(MRU)等检查方法可早期诊断。包括各种引流管在内的微创治疗方法,安全可靠,效果良好。

Early Diagnosis and Minimal Invasive Therapy for Postrenal Acute Renal Failure of Solitary Kidney

Purpose:To evaluate the selectivity and efficiency of early diagnosis and minimal invasive therapy for postrenal acute renal failure of solitary kidney.Methods:The diagnosis and minimal invasive therapy of 17 cases with postrenal acuterenal failure was analyzed retrospectively from October 1997 to April 2007.Results:17 cases recovered after treatment without complication.2 cases who developed BPH with acute urinary retention,1case regained normal renal function after 12 days;the other case cured 18 days later,4cases with urethral stone healed after 7～9days,mean time of 8.6 days;1case with UPJ stone recovered 6 days lat-er;5 cases with ureteral calculi rehabilitated after 9～13days treatment,mean time of 10.3 days.5 cases with gynecological tumor regained normal renal function 3～22 days later,mean time of 15.6 days.Conclusion:Ultrasound might be the primary deter- mination for postrenal acute renal failure of solitary kidney.Early diagnosis could be obtained by using of Ultrasou- nd,cystoscopy,KUB,RGP,CT,MRU,et al.Minimal invasive therapy included all kinds of catheters might be very safe and efficient.