The Selection of Double J Tube Internal Drainage or Percutaneous Nephrectomy External Drainage in the Treatment of Upper Urinary Tract Obstruction Complicated with Acute Renal Failure
- VernacularTitle:上尿路梗阻性急性肾功能不全内、外引流的选择
- Author:
Bo YANG
;
Wen WANG
;
Zongming QIAN
- Publication Type:Journal Article
- Keywords:
Upper urinary tract obstruction;
Renal failure;
Double J tube;
Percutaneous nephrectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the selection and clinical effects of internal or external drainage for upper urinary tract obstruction complicated with acute renal failure.Methods A total of 25 cases of upper urinary tract obstruction complicated with acute renal failure were treated with double J(DJ) tube internal drainage(12 cases,15 times) or percutaneous nephrectomy(PCN) external drainage(19 cases,23 times).15 cases of obstruction were induced by tumor and 10 cases of obstruction induced by benign disease.Results The drainage treatments were performed successfully in 23 cases,with the success rate of PCN and DJ drainage being 86.9%(20/23) and 60.0%(9/15),respectively.Postoperative bleeding occurred in 1 patient with PCN.Conclusions PCN is superior to DJ in the treatment of malignant obstruction,but DJ internal drainage may be the first choice for non-malignant obstruction.
