梗阻性肾病合并肾功能不全临床分析

Clinical analysis of patients with renal dysfunction combined with obstructive nephropathy

目的:分析梗阻性肾病合并肾功能不全的发病原因、治疗方法。方法:收治梗阻性肾病合并肾功能衰竭患者64例,对患者的临床资料进行回顾性分析,总结梗阻性肾病合并肾功能不全的病因以及治疗经验。结果:经过治疗之后,患者的肾积水症状消失或明显改善;接受血液透析治疗的患者中,血肌酐含量得到不同程度的下降;解除梗阻之后,部分患者的血肌酐恢复正常,未恢复正常的患者继续行血液透析治疗,最后血肌酐恢复正常。结论:梗阻性肾病合并肾功能不全的病因主要为内部梗阻、器官实质性病变以及外压性病变;在治疗方面,及早解除梗阻是提高疗效、保护肾功能的关键。

Objective:To analyze the causes and treatment of obstructive nephropathy with renal insufficiency.Methods:64 patients with renal dysfunction combined with obstructive nephropathy were selected.The clinical data of patients were retrospectively analyzed.We summarized the etiology and treatment of obstructive nephropathy with renal dysfunction.Results:After treatment,the patients' hydronephrosis symptoms disappeared or significantly improved.The serum creatinine levels were decreased in patientstreated with hemodialysis.After the obstruction,the blood creatinine of some patients returned to normal,and the patients who did not return to normal were treated with hemodialysis,finally,the blood creatinine returned to normal.Conclusion:The etiology of obstructive nephropathy with renal dysfunction is mainly internal obstruction,organ parenchymal disease and external pressure lesion.In the treatment,early lifting of obstruction is the key to improve the curative effect and protect the renal function.