急性梗阻性自发性尿外渗的临床诊治

Clinical diagnosis and treatment of spontaneous urinary extravasation with acute urinary tract obstruction

目的:提高急性梗阻性自发性尿外渗的诊断和治疗水平。方法:回顾性分析9例急性梗阻性自发性尿外渗患者的临床资料,并结合文献探讨其诊断和治疗方法。结果:患者多以肾绞痛发病,逐渐发展成持续或不典型疼痛,并向腹部蔓延,患侧肾区有明显叩击痛。B超、尿路造影及CT检查对诊断有肯定价值。结论:本病为尿路梗阻后继发的临床综合症,早期诊断较为困难,确诊主要依靠影像学检查。尽早解除尿路梗阻是本病治疗的原则。

Objective:To improve the diagnosis and treatment of spontaneous urinary extravasation with acute urinary tract obstruction (SUEAUTO).Methods:9 cases of SUEAUTO were retrospectively analyzed with review of literature.Results:For most patients renal colic was the first symptom, it became continuous or atypical gradually and extended to abdomen. There was obvious knock pain in region of kidney. SUEAUTO can be diagnosed by ultrasonography, urography and CT.Conclusions:SUEAUTO was clinic syndrome secondary to urinary tract obstruction,it is difficult for exact diagnosis which depended on image mostly. Relieving urinary tract obstruction early was the treatment priciple .