输尿管镜碎石术治疗急性梗阻性肾衰的疗效

Treatment of acute renal failure caused by ureteric obstruction with ureteroscopy in 28 cases

目的 探讨上尿路梗阻并发急性肾功能衰竭的治疗方法的疗效。方法 应用输尿管镜于直视下采用气压弹道碎石、钬激光碎石 ,或联合ESWL碎石 ,共治疗上尿路结石梗阻并急性肾功能衰竭 2 8例。结果 术后患者肾功能恢复正常或接近正常 ,尿量恢复 ,结石排净率 92 .9%( 2 6 2 8)。结论 输尿管镜诊治上尿路结石性梗阻并发急性肾功能衰竭 ,具有安全、疗效可靠、损伤小的优点 ,能同时处理双侧输尿管病变 。

Objective To evaluate the clinical efficacy of ureteroscopy for the treatment of acute renal failure caused by ureteric obstruction. Methods A total of 28 cases of acute renal failure caused by ureteric obstruction were treated with ureteroscopy combined with pneumatic lithotriptor, holmium YAG laser, and ESWL. Results Renal function and urine volume of patients return to normal after treatment, while the stone free rate was up to 92.9% (26/28). Conclusion Ureteroscopy is a new, efficient, and safe method for the treatment of acute renal failure induced by ureteric obstruction.