CAJ | 학술논문

目的探讨输尿管镜技术处理急性上尿路梗阻性无尿的临床应用价值.方法分析37例急性上尿路梗阻性无尿患者应用输尿管镜处理的临床资料.结果本组37例患者均应用输尿管镜行取石、气压弹道碎石或检查术,术中留置单侧或双侧输尿管双J管,成功34例,成功率达到91.9%.术后32例肾功能恢复正常,4例肌酐在180 μmol/L左右,1例定期血透.结论输尿管镜在处理急性上尿路梗阻时可快速解除梗阻从而保护肾功能,有助于疾病诊断.
목적 탐토수뇨관경기술처리급성상뇨로경조성무뇨적림상응용개치.방법 분석37례급성상뇨로경조성무뇨환자응용수뇨관경처리적림상자료.결과 본조37례환자균응용수뇨관경행취석、기압탄도쇄석혹검사술,술중류치단측혹쌍측수뇨관쌍J관,성공34례,성공솔체도91.9%.술후32례신공능회복정상,4례기항재180 μmol/L좌우,1례정기혈투.결론 수뇨 관경재처리급성상뇨로경조시가쾌속해제경조종이보호신공능,유조우질병진단.
Objective To explore the role of ureteroacopy for acute upper urinary tract obstructive anuria.Methods Clinical data of 37 cases with acute upper urinary tract obstructive anuria were analyzed.Results Among 37 cases,34 cases were successfully performed ureteroseopy or ureteroseopic lithotripsy with double-J sent incubation (successful rate was 91.9%).Renal function were recovery in 32 cases.4 Cases returned to 180μmol/L,1 case need hemodialysis periodically.Conclusion Ureteroscopy could rapidly remove the obstruction and protect renal function in management of acute upper urinary tract obstruction anuria,which was contributed to the diagnosis.It was safe,effective and the preferred method.