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目的:分析非结石因素导致肾积水的病因,探讨其外科治疗方法。方法:对2004年5月～2007年5月收治的103例非结石因素导致肾积水的患者临床资料进行回顾性研究,其中行肾切除术者18例,肾盂输尿管成形术22例,输尿管狭窄钬激光切开术1 6例,输尿管球囊扩张术3例,置双J管内引流5例,肾、膀胱造瘘术17例,其他方法14例,观察等待8例。结果:术后随访4～8周,复查B超、IVU了解术后情况。除8例患者经治疗后症状无缓解,肾功能恢复不佳,需进一步治疗外,其他患者近期效果较好,症状和肾积水情况改善或无进展。结论:在积极进行病因治疗的同时,对于不同程度的肾积水,应采取不同的治疗手段。
Objective: To analyze the causes of hydronephrosis caused by non-stone factors and to discuss the surgical treatment methods. Methods: The clinical data of 103 patients with hydronephrosis caused by non-stone factors were retrospectively studied from May 2004 to May 2007, including 18 cases of nephrectomy, 22 cases of ureteropelvic ureteroplasty, 16 cases of holmium laser incision, ureteral balloon dilatation in 3 cases, double J tube drainage in 5 cases, kidney, cystostomy in 17 cases, other methods in 14 cases, the observation waiting for 8 cases. Results: The patients were followed up for 4 to 8 weeks. The B-ultrasound and IVU were reviewed to find out the postoperative status. In addition to the eight patients after treatment without symptoms, poor recovery of renal function, the need for further treatment, other patients with better recent results, symptoms and hydronephrosis improved or no progress. Conclusion: In the active treatment of etiology at the same time, different degrees of hydronephrosis, should take a different treatment.