上尿路结石致急性肾功能衰竭的临床治疗研究

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Abstract [Abstract] Objective To explore the effective therapy for acute renal failure caused by upper urinary calculi, and to provide reference for the study on diagnosis and treatment of the future. Methods 67 cases of acute renal failure patients caused by upper urinary calculi from November 2013 to November 2014 in Affiliated Hospital of Hebei University of Engineering were selected, and they were divided into observation group (33 cases) adopted by percutaneous nephrolithotomy with holmium laser lithotripsy and control group (34 cases) took double positioning in vitro lithotripsy according to their order of treatment and individual will. Serum creatinine and urea nitrogen levels before and after surgery, postoperative renal function and urine output recovery time between two groups were recorded and compared. Results After surgery, serum creatinine and urea nitrogen levels in two groups were lower than those before surgery, with statistical differences (P < 0.05). Serum creatinine and urea nitrogen levels in two groups before and after surgery were compared, with no statistical differences (P > 0.05). Postoperative renal function and urine output recovery time in control group was (7.98±1.32), (7.23±1.54)d respectively, postoperative renal function and urine output recovery time in observation group was (6.14±1.99), (6.38±1.33)d respectively, the differences were highly statistically significant (P < 0.01). Conclusion Percutaneous nephrolithotomy with holmium laser lithotripsy and double positioning in vitro lithotripsy in clinical indicator have no significant difference, but patients with long time existence calculi or urethra narrow and there severe adhesion with relevant organization, should be preferred percutaneous nephrolithotomy with holmium laser lithotripsy, in order to improve postoperative recovery time and to ensure maximum completely get rid of stone.

Key words： [Key words] Upper urinary tract calculi Acute renal failure Percutaneous nephrolithotomy with holmium laser lithotripsy

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	SHI Yunguang DUAN Dongpeng WANG Hongxia WANG Honghu

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SHI Yunguang DUAN Dongpeng WANG Hongxia WANG Honghu. Clinical treatment study on acute renal failure caused by upper urinary tract calculi[J]. 中国医药导报, 2016, 13(3): 75-78.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2016/V13/I3/75

[参考文献]
[1] Takahashi N，Vrtiska TJ，Kawashima A，et al. Detect ability of urinary stones on virtual nonenhanced images generated at pyelographic-phase dual-energy CT [J]. Radiology，2010，256（1）：184-190.
[2] 李文峰，潘惟听，厉建，等.肾绞痛后输尿管结石自行排出的预测性研究[J].临床泌尿外科杂志，2011，26（11）：806-811.
[3] 李鹏飞.急性肾后性肾功能衰竭65例临床分析[J].中外医疗，2012，31（20）：84.
[4] Rud O，Moersler J，Peter J，et al. Prospective evaluation of interobserver variability of the hydronephrosis index and the renal resistive index assonographic examination methods for the evaluation of acute hydronephrosis [J]. BJU Int，2012，110（8 Pt B）：E350-E356.
[5] 张晓明，门同义.上尿路结石致急性肾后性肾功能衰竭的诊治[J].山东医药，2010，50（39）：107-108.
[6] 郭应禄，董诚，周四维.输尿管外科[M].北京：北大医院出版社，2010：77.
[7] Philippou P，Moraitis k，EL-Husseiny T，et al. Endovascular covered stenting for the management of post-percutaneous nephrolithotomy renal pseudoaneurysm，a case reports [J]. J Med Case Rep，2010，4（1）：316.
[8] 缪长安，王强东，董振佳.钬激光碎石治疗输尿管结石致急性肾后性肾衰[J].实用临床医学，2010，11（3）：68-69.
[9] Burgess KL，Gettman MT，Ranqel LJ，et al. Diagnosis of urolithiases and rate of spontaneous passgae during pregnancy [J]. J Urol，2011，186（6）：2280-2284.
[10] Negru I，Pricop C，Costǎ chescu G. Renal colic in pregnancy [J]. Rev Med Chir Soc Med Nat lasi，2010，114（2）：439-444.
[11] 白峰，李亚青.双定位体外冲击波碎石机治疗泌尿系结石242例分析[J].医学信息，2011，24（3）：190-191.
[12] 周冬梅，张洪敏.上尿路结石致急性肾后性肾功能衰竭的临床诊治[J].中国社区医师，2012，14（14）：94.
[13] 刘宏伟，彭向荣.输尿管镜下钬激光碎石术治疗上尿路结石并发急性梗阻性肾功能衰竭[J].中国当代医药，2012， 19（18）：186-187.
[14] 李中兴，葛广成，冯瑞，等.输尿管镜下钬激光碎石术治疗输尿管结石并发急性梗阻性肾功能衰竭（附58例报告）[J].山东医药，2011，51（22）：46-47.
[15] 孟祥军，米其武，何朝辉.上尿路结石致急性梗阻性肾功能衰竭的微创处理[J].中华腔镜泌尿外科杂志：电子版，2011，5（3）：207-208.
[16] 李飞，陆鲲，刘加军.上尿路结石致急性肾后性肾功能衰竭的诊治[J].海南医学院学报，2012，20（7）：953-954.
[17] 杨琦，王养民，景德善，等.输尿管镜下钬激光治疗结石梗阻性急性肾功能衰竭[J].西北国防医学杂志，2010， 31（4）：258-260.
[18] 樊江勇，陈小俊，朱洪文，等.输尿管镜治疗结石引起的急性梗阻性肾功能衰竭[J].中国微创外科杂志，2007，7（6）：534-535.
[19] 孙继建.上尿路结石致急性肾功能衰竭的处理[J].临床医学，2011，31（6）：65-66.
[20] 李福平.双侧上尿路结石梗阻并发急性肾功能衰竭的临床分析[J].大家健康，2012，6（12）：13-14.
[21] 邓若平，夏琰，秦钢，等.输尿管镜腔内碎石的技术体会（附315例分析）[J].中国内镜杂志，2003，9（2）：55-56，58.
[22] 李逊，曾国华，陈文忠，等.输尿管镜术严重并发症原因分析和处理体会[J].中华泌尿外科杂志，2004，25（6）：431.
[23] 曾东升，徐苗，成泽民，等.双侧输尿管结石致急性肾功能衰竭43例诊治体会[J].中华泌尿外科杂志，2004，25（12）：803.
[24] 沈军，徐鹏程，袁建.输尿管镜气压弹道碎石治疗体外震波碎石失败的输尿管结石[J].中国内镜杂志，2005，11（4）：404-406.
[25] 郭文胜.ESWL治疗输尿管结石31例失败原因分析[J].中外医学研究，2011，9（4）：20.
[26] 鄢世兵，魏强.开放手术治疗上尿路结石667例回顾分析[J].中华外科杂志，2009，47（4）：244-247.