摘要
目的 :分析急性上尿路梗阻性无尿 80例的诊断和治疗方法 ,以尽早诊断 ,及时治疗。方法 :报告 1989～ 1999年收治的急性上尿路梗阻性无尿患者 80例。诊断依据为少尿以致无尿、水肿、血尿素氮和肌酐进行性增高。初步诊断首选腹部平片( KUB)和 B超及肾图检查。结果 :10例患者术前行血液透析 ,手术治疗 5 3例 ,包括输尿管切开取石术 18例 ,肾造瘘术 2 0例 ,狭窄段输尿管切除膀胱再植 8例 ,输尿管腹壁皮肤造口术 7例 ;双“J”管内引流术 2 7例。结论 :本病病因、病情复杂多变 。
Objective:To evaluate the methods of diagnosi s and tr eatment of anuira patients with acute obstruction at the upper urinary tract. Methods:Eighty anuira patients with acute obstruction at the upper uri na ry tract from 1989 to 1999 were stuidied. Oliguria or anuria and progressive inc r ease of blood ureanitrogen and creatinine were the main manifestation of diagnos is. KUB, B ultrasonography and radiorenography were the first line of examinati on for diagnosis of upper urinary obstruction. Results:Fifty three p ati ents were operated on, including 18 patients with ureterolithotomy, 20 patients with renal fistulation, 8 patients with ureterovesicostomy and 7 patients with u reterostomy. Before operation there were 10 patients with hemodialysis. There we re 27 patients with drainage of Double J stenting. Conclusion:Differ en t therapy should be adopted according to the variant pathogenicity and pathogene sis of upper urinary obstruction.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2001年第5期434-436,共3页
Journal of Nanjing Medical University(Natural Sciences)
