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微创泌尿外科杂志  2016, Vol. 5 Issue (3): 172-173    
  论著 本期目录 | 过刊浏览 | 高级检索 |
介入技术治疗输尿管梗阻性肾功能不全的疗效观察
张晓毅1,赵国华1,孙博1,刘德忠1,孙家各1,刘川海1,郭辉1
1中国人民解放军火箭军总医院泌尿外科 100088 北京
Clinical efficacy of interventional therapy for ureteral obstruction-induced renal insufficiency
Zhang Xiaoyi1,Zhao Guohua1,Sun Bo1,Llu Dezhong1,SUN Jiage1,LlU Chuanhai1,GUO Hui1
1Department of Urology, the PLA Rocket Forc General Hospital, Beijing 100088, China
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摘要 目的:探讨应用介入方法治疗因肿瘤、放疗或其他原因引起输尿管梗阻,导致肾功能不全的治疗价值。方法:32例患者采用介入治疗的方法,扩张狭窄段输尿管,逆行或顺行放置导丝后留置双猪尾输尿管支架。观察手术情况、术后尿量以及并发症的发生情况。结果:32例患者均放置双J管成功,术后尿量明显增加,肾功能肌酐2~7 d恢复正常或接近正常。结论:介入方法放置双猪尾输尿管支架,手术安全度高、恢复快、引流充分,可作为输尿管梗阻性肾功能不全姑息治疗的首选方法。
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张晓毅
赵国华
孙博
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郭辉
关键词 介入方法输尿管梗阻肾功能不全    
AbstractObjective: To explore the value of interventional therapy as an initial treatment for ureteral obstruction-induced renal insufficiency caused by pelvic tumor or pelvic radiotherapy. Methods: Thirty-two patients with ureteral obstruction were subjected to interventional therapy, the stricture ureter was dilated and the guide wire was put by antegrade or retrograde method. The postoperative urinary volume and complications were observed. Results: The double J tubes were put successfully in 32 cases. No serious complications occurred. All cases were drained smoothly, urinary volume increased significantly, and renal faction improved with creatinine recovered in 2 to 5 days. Conclusions: Interventional therapy is a simple and useful initial method for ureteral obstruction-induced renal insufficiency, and can be regarded as a treatment method for the cases who were inoperable.
Key wordsInterventional therapy    ureteral obstruction    renal insufficiency
收稿日期: 2016-02-07     
ZTFLH:  R692.5  
通讯作者: 张晓毅,doctorzhxy@163.com   
引用本文:   
张晓毅,赵国华,孙博,刘德忠,孙家各,刘川海,郭辉. 介入技术治疗输尿管梗阻性肾功能不全的疗效观察[J]. 微创泌尿外科杂志, 2016, 5(3): 172-173.
Zhang Xiaoyi,Zhao Guohua,Sun Bo,Llu Dezhong,SUN Jiage,LlU Chuanhai,GUO Hui. Clinical efficacy of interventional therapy for ureteral obstruction-induced renal insufficiency. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(3): 172-173.
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