CAJ | 학술논문

目的探讨急性上尿路梗阻性无尿的相关诊断和治疗经验.方法总结2000年至2015年收治的急性上尿路梗阻性无尿或少尿患者共138例.输尿管结石96例,肾结核7例,恶性肿瘤转移浸润输尿管或肾盂29例,腹膜后纤维化3例,尿流改道术后输尿管梗阻3例.结果手术治疗83例,包括肾造瘘术31例,输尿管切开取石或经输尿管镜碎石术37例,输尿管腹壁皮肤造口术7例,狭窄段输尿管切除膀胱再植8例;双J管内引流术54例,经造瘘口直接插管术1例.结论该类患者引起的急性肾功能损害往往是可逆的,若采用合适的治疗方式能及时解除或缓解梗阻,大多数患者损害的肾功能将获得挽救.
목적 탐토급성상뇨로경조성무뇨적상관진단화치료경험.방법 총결2000년지2015년수치적급성상뇨로경조성무뇨혹소뇨환자공138례.수뇨관결석96례,신결핵7례,악성종류전이침윤수뇨관혹신우29례,복막후섬유화3례,뇨류개도술후수뇨관경조3례.결과 수술치료83례,포괄신조루술31례,수뇨관절개취석혹경수뇨관경쇄석술37례,수뇨관복벽피부조구술7례,협착단수뇨관절제방광재식8례;쌍J관내인류술54례,경조루구직접삽관술1례.결론 해류환자인기적급성신공능손해왕왕시가역적,약채용합괄적치료방식능급시해제혹완해경조,대다수환자손해적신공능장획득만구.
Objective To study the methods of diagnosis and treatment in acute upper urinary tract obstruction patients with anuria or oliguria.Methods 138 acute upper urinary tract obstruction patients with anuria or oliguria from 2000 to 2015 were selected,including 96 cases of urolithiasis,7 cases ofnephronophthisis,29 cases of malignant tumor metastasis,3 cases of retroperitoneal fibrosis and 3 cases of ureteral obstruction after urinary diversion.Results 83 patients underwent operation,including 31 cases of renal fistulation,37 cases of ureterolithotomy or holmium laser lithotripsy,7 cases of ureterostomy and 8 cases of ureterovesicostomy.There were 54 cases of double J stenting drainage,1 cases of ureteral catheterization from anastamosis.Conclusion Different therapy should be taken according to variant pathogenesis and pathogenicity in acute upper urinary tract obstruction patients.