CAJ | 학술논문

目的：探讨急性上尿路梗阻所致自发性尿外渗的临床表现，发病机制、诊断和治疗方法。方法：回顾性分析13例上尿路急性梗阻导致尿外渗的病例特点、诊断和治疗过程。7例行经尿道输尿管镜下取石或碎石后留置双J管。2例置管失败后行超声引导下肾穿刺造瘘术引流。1例行经皮肾穿刺碎石术。2例开放手术恢复上尿路通畅性。结果：13例患者均及时确诊，梗阻解除后，均恢复良好，无并发症发生。结论：上尿路急性梗阻导致尿外渗以输尿管和肾结石多见，影像学检查特别是CTU检查是确诊本病的主要手段。治疗原则应积极解除上尿路梗阻，充分引流外渗尿液，控制感染及并发症。
목적：탐토급성상뇨로경조소치자발성뇨외삼적림상표현，발병궤제、진단화치료방법。방법：회고성분석13례상뇨로급성경조도치뇨외삼적병례특점、진단화치료과정。7례행경뇨도수뇨관경하취석혹쇄석후류치쌍J관。2례치관실패후행초성인도하신천자조루술인류。1례행경피신천자쇄석술。2례개방수술회복상뇨로통창성。결과：13례환자균급시학진，경조해제후，균회복량호，무병발증발생。결론：상뇨로급성경조도치뇨외삼이수뇨관화신결석다견，영상학검사특별시CTU검사시학진본병적주요수단。치료원칙응적겁해제상뇨로경조，충분인류외삼뇨액，공제감염급병발증。
Objective:To investigate the clinical performance ,pathogenesis,diagnosis and treatment of acute upper urinary tract ob-struction due to spontaneous urinary extravasation .Methods:A retrospective analysis of the course of diagnosis and treatment of 13 cases of upper urinary tract acute obstruction leading to urinary extravasation was performed .7 cases adopted transurethral ureteroscopic lithotripsy Abstract Objective:To investigate the clinical performance ,pathogenesis,diagnosis and treatment of acute upper urinary tract ob-struction due to spontaneous urinary extravasation .Methods:A retrospective analysis of the course of diagnosis and treatment of 13 cases of upper urinary tract acute obstruction leading to urinary extravasation was performed .7 cases adopted transurethral ureteroscopic lithotripsy and had double J tubes planted .2 cases adopting the the renal puncture fistulization drainage guided by the ultrasound after failing to put the tube.1 underwent percutaneous lithotripsy .2 cases adopting open surgery to recovery the patency of upper urinary tract .Results:13 patients acquired good recovery with no complications after elimination of the obstruction .Conclusion:The ureter and kidney stones were tend to induce urinary extravasation caused by acute upper urinary tract obstruction .The imaging examinations ,especially the CTU ,were the primary means of diagnosis of the disease .Principles of treatment should include actively releasing of upper urinary tract obstruction , drainaging extravasation adequately and controlling the infection and complications .