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目的:探讨孤立肾急性肾后性肾衰的早期诊断和微创治疗方案的选择和效果。方法:回顾性分析1997年10月～2007年4月孤立肾急性肾后性肾衰患者17例的诊断和微创治疗方法。结果:17例经治疗后肾功能均恢复正常。无术后并发症。前列腺增生症(BPH)伴急性尿潴留2例,1例治疗12天后肾功能恢复正常,1例18天后恢复正常。后尿道结石4例,治疗7～9天后肾功能恢复正常,平均为8.6天。肾盂输尿管交界部结石1例,治疗6天后肾功能恢复正常。输尿管结石5例,治疗9～13后肾功能恢复正常,平均为103天。妇科盆腔肿瘤5例,治疗3～22天后肾功能恢复正常,平均为15.6天。结论:超声是孤立肾肾后性肾功能衰竭首选的检查方法。应用超声、膀胱尿道镜、泌尿系平片(KUB)、逆行性尿路造影(RGP)、CT、磁共振泌尿系水成像(MRU)等检查方法可早期诊断。包括各种引流管在内的微创治疗方法,安全可靠,效果良好。
Objective: To explore the early diagnosis and minimally invasive treatment of acute renal nephropathy in isolated kidney. Methods: A retrospective analysis of the diagnosis and minimally invasive treatment of 17 cases of acute renal nephropathy in isolated nephropathy from October 1997 to April 2007 were performed. Results: After treatment, renal function returned to normal in 17 cases. No postoperative complications. Benign prostatic hyperplasia (BPH) with acute urinary retention in 2 cases, 1 case of 12 days after treatment, renal function returned to normal, 1 case returned to normal after 18 days. 4 cases of urethral calculus, 7 to 9 days after treatment, renal function returned to normal, with an average of 8.6 days. One case of ureteropelvic junction stones, renal function returned to normal 6 days after treatment. Ureteral calculi in 5 cases, 9 to 13 after treatment of renal function returned to normal, with an average of 103 days. Gynecologic pelvic tumors in 5 cases, 3 to 22 days after treatment, renal function returned to normal, with an average of 15.6 days. Conclusion: Ultrasound is the first choice of isolated renal failure after renal failure. Application of ultrasound, bladder urethral, urinary plain film (KUB), retrograde urography (RGP), CT, magnetic resonance urography water imaging (MRU) and other tests can be early diagnosis. Including a variety of drainage tubes, minimally invasive treatment methods, safe and reliable, the effect is good.