摘要
目的 探讨小儿上尿路结石所致肾功能不全保留肾脏手术的适应证及疗效。 方法 对 118例上尿路结石伴肾功能不全患儿的病理及临床资料进行回顾性分析。 结果 118例患儿 88个肾及 30根输尿管切开取石术及肾造瘘术 ,痊愈 115例 ,治愈率 97.5 % ,死亡 3例 ,死亡率 2 .5 % ,术后无发生上尿路狭窄者。 结论 小儿上尿路结石所致急慢性肾功能不全 ,早期诊断 ,尽早解除梗阻是保护及改善肾功能的关键 ,根据病史、体征、患侧肾皮质厚度及肾功能情况 ,有无感染等综合判断是保留肾脏手术成功的重要条件。
Objective To investigate the indication to retain the involved kidney in the surgical treatment of upper urinary tract stone accompanied by renal insufficiency in children. Methods 118 cases of upper urinary tract stone accompanied by renal insufficiency in children were retrospectively studied. Results 118 children with kidney or upper segment ureteral stone accompanied by renal insufficiency underwent lithotomy and nephrostomy,115 of them have been cured of the disease ( 97.5 %).3(2.5%) died.No upper urinary tract stenosis has been observed. Conclusions Early diagnosis and prompt relief of the obstruction are the key points to protect and retain the involved kidney.Clinical history and physical sign,the thickness of the renal cortex and the renal function,complicated by infection or not are the cardinal factors to be considered in order to achieve a success in retaining the involved kidney.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2002年第4期206-208,共3页
Chinese Journal of Urology
