CAJ | 학술논문

目的：探讨双 J 管在药物结晶性上尿路梗阻治疗中的应用效果。方法回顾性分析12例药物结晶性上尿路梗阻患者的临床资料，经 CT 检查确诊为输尿管梗阻，对入院次日血肌酐持续升高的患者在膀胱镜下逆行放置双 J 管治疗，观察临床效果。结果9例患者顺利置入双 J 管，血肌酐迅速下降至正常。2例患者未能置入，血肌酐持续升高，1例患者单侧输尿管梗阻，次日血肌酐下降，保守治疗治愈。结论对于药物性肾损伤的患者，应常规行双侧输尿管 CT 检查，一旦明确有药物性结晶，及时在膀胱镜下放置双侧双 J 管，是简单、有效的治疗措施。
목적：탐토쌍 J 관재약물결정성상뇨로경조치료중적응용효과。방법회고성분석12례약물결정성상뇨로경조환자적림상자료，경 CT 검사학진위수뇨관경조，대입원차일혈기항지속승고적환자재방광경하역행방치쌍 J 관치료，관찰림상효과。결과9례환자순리치입쌍 J 관，혈기항신속하강지정상。2례환자미능치입，혈기항지속승고，1례환자단측수뇨관경조，차일혈기항하강，보수치료치유。결론대우약물성신손상적환자，응상규행쌍측수뇨관 CT 검사，일단명학유약물성결정，급시재방광경하방치쌍측쌍 J 관，시간단、유효적치료조시。
Objective To investigate the effects of the double J tube in treating drug -crystalline upper uri-nary tract obstruction.Methods There were 12 cases of drug -crystalline urinary tract obstruction,which were diag-nosed by CT for urinary tract obstruction.With the help of cystoscope,we retrograde placed the double -J tube in all the 12 patients who with persistently elevated serum creatinine in the next day of admission.Results Nine patients were successfully placed double J stent and serum creatinine of the patients decreased to normal rapidly.There were 2 patients with failed implantation and were with persistently elevated serum creatinine.1 patient with unilateral urina-ry tract obstruction was treated with conservative treatment and eventually cured.Conclusion Patients with drug -induced renal injury should have a routine bilateral ureteral CT scan,once they are clearly diagnosed as drug crystal upper urinary tract obstruction in them,timely placement of bilateral double J tube with the help of cystoscope,which was a simple and effective treatments.