急性梗阻性肾功能衰竭的微创治疗

Minimal invasive therapy for acute obstructive renal failure

目的探讨腔内微创手术治疗急性梗阻性肾功能衰竭的临床经验。方法对30例不同梗阻原因致急性肾功能衰竭的患者,采取经膀胱镜下逆行插管(2例)、输尿管镜下气压弹道碎石取石后置管(25例)引流、经皮肾穿刺造瘘引流(3例)等方法解除梗阻,分析其治疗效果。结果术后患者均成功解除梗阻,血清尿素氮、肌酐逐渐恢复或接近正常,尿量正常。结论应用微创方法治疗上尿路梗阻引起的急性梗阻性肾功能衰竭,具有安全可靠、损伤小、同时能处理双侧输尿管病变等优点,是可行有效的治疗方法。

Objective To study the clinical experience of the minimal invasive therapy for acute obstructive renal failure.Methods Clinical data of 30 cases of patient with acute obstructive renal failure were retrospectively analyzed. Among the 30 cases, 25 were treated with ureteroscopy, three (3) with percutaneous nephrostomy, two (2) with retrograde intubation under cystoscope. Results All of the patients were treated successfully. After the operation the serum BUN and CR levels in the patients decreased to differe...