上尿路结石致急性梗阻性肾功能衰竭的处理

目的：探讨上尿路结石致急性梗阻性肾功能衰竭解除梗阻的几种处理方法及其优缺点。方法：回顾分析68例上尿路结石致急性梗阻性肾功能衰竭患者,分别采用B超引导下经皮穿刺肾造瘘、ESWL、输尿管镜下碎石或插管、开放手术处理并比较其并发症。结果：41例肾功能完全恢复,23例肾功能有明显改善,4例肾功能改善不明显或无效,各组间疗效比较无显著性差异,并发症危害以经皮穿刺肾造瘘、输尿管镜下碎石轻或对肾功能危害小。结论：根据患者具体情况选择处理方法,解除肾功能衰竭患者梗阻,以腔内手术及经皮穿刺肾造瘘为佳。

Upper urinary tract obstruction caused by acute renal failure treatment

Objective：To evaluate the upper urinary tract obstruction in acute renal failure several methods to remove the obstruction and its advantages and disadvantages.Methods：Retrospective analyzed of 68 cases of upper urinary tract obstruction caused by acute renal failure cases,respectively B ultrasound-guided percutaneous nephrostomy,ESWL,uretero scopic lithotripsy,or intubation,open surgery and to compare the concurrent processing disease.Results：41 cases of renal function recovered completely,23 patients had significant improvement in renal function,4 cases of renal function im provement was not obvious or invalid,the group effect was no significant difference in complications in percutaneous nephrostomy harm,ureteroscopy light or under the rubble of small renal damage.Conclusion：The treatment of choice in patients with specific conditions,lifting of patients with obstructive renal failure,the endovascular surgery and percuta neous nephrostomy better.