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目的研究梗阻性肾病常见的病因,提高诊治水平。方法分析2006年1月-2008年12月我科收治的10例梗阻性肾病导致肾积水并肾功能不全患者的临床资料。结果10例中治疗后肾积水消退8例,肾积水减轻2例;治疗后肾功能恢复正常3例,6例有明显改善,1例进入常规血透。结论对梗阻性肾病导致肾功能异常患者,应积极明确梗阻病因,尽早尽快解除梗阻,改善肾功能,降低透析率。
Objective To study the common causes of obstructive nephropathy and improve the diagnosis and treatment. Methods The clinical data of 10 patients with obstructive nephropathy who had hydronephrosis and renal insufficiency from January 2006 to December 2008 in our department were analyzed. Results In 10 cases, hydronephrosis subsided in 8 cases and hydronephrosis in 2 cases. After treatment, renal function returned to normal in 3 cases, 6 cases improved obviously and 1 case went to conventional hemodialysis. Conclusions Patients with obstructive nephropathy leading to renal dysfunction should actively identify the cause of obstruction, relieve obstruction as soon as possible, improve renal function and reduce dialysis rate.