输尿管镜在急性梗阻性无尿中的应用

Ureteroscopic Management of Acute Urinary Tract Obstructive Anuria

目的:探讨输尿管镜在急性梗阻性无尿的临床应用价值。方法:回顾性分析46例急性梗阻性无尿患者输尿管镜治疗的临床资料。结果:本组46例输尿管镜碎石取石术或输尿管镜检,术中留置单侧或双侧输尿管双J管,成功42例,失败4例,成功率91%。术后39例肾功能恢复正常,7例无好转,其中2例需要定期血液透析治疗。结论:输尿管镜在处理急性梗阻性无尿中具有重要作用,可迅速解除梗阻,保护肾功能。

Objective： To evaluate the role of ureteroscopy for acute urinary tract obstructive anuria. Methods： Clinical findings of 46 cases of acute urinary tract obstructive anuria were analysed retrospectively. Results： Among 46 cases, 42 cases were successfully performed ureteroscopy or ureteroscopic lithotripsy with double-J stent incubation （successful rate is 91.3% ）. Renal function were recovery in 39 cases and not improved in 7 cases （2 cases need hemodialysis periodically） after operation. Conclusions： Ureteroscopy play an important role in management of acute obstructive anuria, which can rapidly remove the obstruction and protect renal function.