单侧尿石梗阻积水肾的预后

Prognosis of hydoronephresis caused by the unilateral urolithic obstruction

目的为了寻找一种评估肾积水预后的临床方法。方法36例单侧上尿路结石梗阻所致肾积水病例资料IVU提示均无功能。取其尿液进行pH值、肌酐、钠离子浓度检测分析,同时比较分析患者年龄、性别、病程及结石所在部位。所有病例于术后6月进行静脉尿路造影(IVU)检查。结果术后肾功能恢复良好组(Ⅰ组),与肾功能恢复较差组(Ⅱ组)相比,其尿液PH值、年龄、病程之P值小于0.05,尿肌酐P值小于0.01。结论判断IVU提示无功能的积水肾时,应根据患肾尿液的pH值、尿肌酐、再结合年龄、病程、梗阻部位综合考虑。

Abstruct Objective Purpose In order to look for a chilnical way evaluating the prognosis of hy-dronephrosis.Methods Renal pelvic urine sam-ples were obtained for analysis from36patients with urolithic obsruction.Results Comparing I group presented with better renal function recover toⅡgroup with renal function recovery,there was significant difference in the two groups at the mean urine pH,average patient ages and process of diseas,P<0.05,at the mean urine Cr,P<0.01.Con-clusion We believe that patients whose on kidney is diagnosed hydronehphresis by IVU should be correctly treated after considering urine pH,Cr,age,process of diseas and the site of urolithic obstruc-tion.