输尿管镜治疗急性上尿路梗阻无尿的效果评价

目的探讨输尿管镜技术处理急性上尿路梗阻性无尿的临床应用价值。方法分析37例急性上尿路梗阻性无尿患者应用输尿管镜处理的临床资料。结果本组37例患者均应用输尿管镜行取石、气压弹道碎石或检查术，术中留置单侧或双侧输尿管双J管，成功34例，成功率达到91．9％。术后32例。肾功能恢复正常，4例肌酐在180μmol／L左右，1例定期血透。结论输尿管镜在处理急性上尿路梗阻时可快速解除梗阻从而保护肾功能，有助于疾病诊断。

Evaluation on the effecf of ureterosocopy in treatment of acute upper urinary tract obstructive anuria

Objective To explore the role of ureteroacopy for acute upper urinary tract obstructive anuria.Methods Clinical data of 37 cases with acute upper urinary tract obstructive anuria were analyzed.Results Among 37 cases,34 cases were successfully performed ureteroseopy or ureteroseopic lithotripsy with double-J sent incubation (successful rate was 91.9%).Renal function were recovery in 32 cases.4 Cases returned to 180μmol/L,1 case need hemodialysis periodically.Conclusion Ureteroscopy could rapidly remove the obstruction and protect renal function in management of acute upper urinary tract obstruction anuria,which was contributed to the diagnosis.It was safe,effective and the preferred method.