Bilateral upper urinary tract stone obstruction associated with acute renal failure diagnosis and treatment experience(Attached 40 cases report)
10.3969/j.issn.1001-1420.2000.11.004
- VernacularTitle:双侧上尿路结石梗阻并发急性肾功能衰竭(附40例报告)
- Author:
Tian-Jun WU
1
;
Zhi-Wu LIAO
Author Information
1. 广西钦州市第一人民医院
- Keywords:
Urinary calculi Urinary obstruction Acute renal failure
- From:
Journal of Clinical Urology
2000;15(11):493-494
- CountryChina
- Language:Chinese
-
Abstract:
Purpose:To discuss the diagnosis and treatment methods for bilateral upper urinary tract stoneobstruction associated with acute renal failure. Methods :The diagnosis was obtained by using ultrasound,KUBand retrograde pyelogram maneuver. To achieve treatment goal the patients underwent ureterolithotomy, renalpuncture fistulization, ureterocatheterization draining, ESWL, etc. Results: Postoperatively most of the patientsuremic symptoms were reduced or dissolved. All patients serum BUN、Cr levels decreased in different degree orreturn to normal. Conclusions:Operation is indicated for bilateral upper urinary tract stone, but if associated withsevere infection or the patient general condition being poor, operation is contraindicaed and therefore earlyureterocatheterization draining or renal fistulization is recommended.
