微创治疗急性上尿路梗阻64例体会

目的 探讨急性上尿路梗阻性无尿的病因、诊断及治疗方法，提高对急性上尿路梗阻性无尿的微创诊治水平。方法 回顾性分析64例急性上尿路梗阻无尿患者的梗阻原因及疗效。结果 全部患者尿毒症症状减轻或消失，其中53例术后5．7d肾功能完全恢复，11例在术后3mo仍有不同程度的氮质血症，4例需长期带。肾造瘘管。结论 结石梗阻是急性上尿路梗阻性无尿的主要原因。输尿管镜行碎石及置入双J管内支架引流是较好的治疗方法。

Mini-invasive Therapy for 64 Cases of Acute Upper Ureteral Calculi

Objective To investigate the etiopathogenisis, diagnosis and therapy for anuria caused by acute upper ureterat obstruction, and thus to raise the diagnosis and treatment level of it. Methods A retrospective analysis was performed on 64 cases of anuria caused by acute upper ureteral obstruction with regard to obstruction cause and efficacy. Results Uremia symptoms were alleviated or disappeared in all subjects, among whom 53 had normal renal function 5-7d postoperation, 11 continued to present with azotemia of varying degrees 3too postoperation, 4 with chronic renal stoma. Conduslon Galculus obstruction is the major cause of the acute upper ureteral obstructive anuria. And the ureteroscopic lithoclasty with double J ureteral stent implantation for drainage can be the favorable the therapy for them.