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孤肾和双侧上尿路急性梗阻,常可导致无尿和急性肾功能不全,若处理不当,死亡率高,我院1988—1993年共收治21例,现报告如下。 临床资料 一、一般资料:男18例,女3例,年龄10～76岁,平均43.5岁,其中孤肾5例。21例均经KUB、IVU和B超检查确诊为上尿路结石。结石病程2个月～21年,平均5.8年。4例为阴性结石,经输尿管插管和B超确诊。9例IVU4小时内尿路无造影剂充填。B超21例示肾积水,16例输尿管扩张,14例肾内有结石强光团,5例对侧肾无回声或肾影显示不清。
Nephrotoxic and bilateral upper urinary tract obstruction, often can lead to anuria and acute renal insufficiency, if not properly handled, high mortality, our hospital a total of 21 cases were treated in 1988-1993, are as follows. Clinical data First, the general information: 18 males and 3 females, aged 10 to 76 years, mean 43.5 years, of which 5 cases of solitary kidney. 21 cases were diagnosed by KUB, IVU and B ultrasound as upper urinary tract stones. Stones course of 2 months to 21 years, an average of 5.8 years. 4 cases of negative stones, ureteral intubation and B-diagnosed. Nine patients underwent IVU within 4 hours without contrast filling. B ultrasound 21 cases of hydronephrosis, ureteral dilatation in 16 cases, 14 cases of intra-renal calculi light group, 5 cases of contralateral kidney anechoic or renal shadow showed unclear.