44例肾后性肾功能不全临床治疗分析

Clinical Treatment in 44 Cases with Post - Renal Impairment

目的：探讨肾后性肾功不全的临床治疗。方法：通过 Ｂ超引导下肾穿刺造瘘术（ＰＣＮ）、膀胱镜下逆行双Ｊ管内置术、开放手术、体外震波碎石（ＥＳＷＬ）、血透达到治疗目的。结果：４１例患者临床症状改善或消失，血尿素氮（ＢＵＮ）、血肌酐（Ｃｒｅ）有不同程度的改善或正常。２例放弃治疗后死亡，１例合并感染后死于败血症，结论：肾后性肾功不全的治疗均为尽快解除梗阻。且根据其梗阻病因及梗阻时间选择相应治疗方法，分别为手术、ＰＣＮ术、膀胱镜下内置双Ｊ管术等。

Objective: To exploe the clinical therapeutic procedures for the post - renal impairm- net. Methods: PCN operation was performed through the type B of ultrasound and the reversed double J type of tube was put inside under a cystoscope. the ESWL and blood dialysis were used in the treatm- net. Results: the clinical manifestations in 41 cases partly disappeard or improved after the treatment, and BUN and Cre in the blood showed somewhat improved to some degree or became normal. Two cases died from the complicated infection and sepsis: Conclusions: It is very necessary to get rid of the obstruction in the process of treating the post - renal impairment. Different procedures should be given in the light of the different causes and different time of the obstruction, The common proceduers include common surgical operations, the PCN operation and the operation with the reversed double J type of tube.