摘要
目的 :总结尿酸结石引起急性输尿管梗阻的处理经验。方法 :76例分为 2组 :肾绞痛组 46例 ,其中 2 0例采用保守治疗 ,无效者行逆行插管引流 ,另外 2 6例急诊行逆行插管引流 ;急性肾衰组 30例急诊行逆行插管引流。引流 3～ 5 d后 ,经输尿管导管持续滴入 1 2 .5 g/L碳酸氢钠溶液 ,连续 3～ 5d。结果 :在肾绞痛组中保守治疗结合逆行插管引流与急诊行逆行插管引流组的疗效差异无显著性 (P>0 .0 5) ;急性肾衰组插管引流后血清肌酐显著下降 (P<0 .0 1 )。结论 :肾绞痛者可先保守治疗 ,无效时行逆行插管引流 ;
Objective: To summarize the experience in the management of acute ureteral obstruction due to uric acid stones Methods:Seventy six patients were divided into renal colic group ( n =46) and acute renal failure group ( n =30) In renal colic group,20 patients received the combination of conservative treatment and retrograde catheterization and drainage (RCD),and the others undertook emergency RCD All cases in acute renal failure group were treated with emergency RCD After 3 5 days of drainage,12 5 g/L of sodium bicarbonate had been perfused through ureteral catheter for 3 5 days Results:In renal colic group,there was no difference in the therapeutic efficacy between the combination of conservative treatment and RCD and emergency RCD ( P >0 05) In acute renal failure group,the serum level of creatinine markedly decreased after drainage( P <0 01) Conclusion:The patients with renal colic can be first managed conservatively,and those with inefficacy then receive RCD Emergency RCD is the treatment of choice for acute renal failure
出处
《广东医学院学报》
2002年第3期181-181,185,共2页
Journal of Guangdong Medical College
关键词
尿酸结石
急性输尿管梗阻
处理
治疗
ureteral stones/treatment
ureteral obstruction/treatment
