Renal bilateral upper urinary tract calculi after 22 cases of renal failure.docVIP

 PAGE \* MERGEFORMAT 7 Renal bilateral upper urinary tract calculi after 22 cases of renal failure [Keywords:] upper urinary tract stones, kidney failure, renal resistance after Bilateral upper urinary tract stones leading to renal failure after kidney a common cause, the need for timely diagnosis and treatment, if not timely and inappropriate treatment can be life-threatening. Our hospital since 2000, 22 patients were treated on both sides Renal urinary calculi after renal failure, and achieved good therapeutic effect, are as follows. Materials and Methods 1. General Information of this group were 8 males and 14 females, aged 26 to 68 years, average 45.2 years old. The stones 1 month to 5 years, oliguria 5 ~ 28 d, 14 d. Average serum creatinine 362.8 ~ 1728.5 mol / L, an average of 535.3 mol / L. Abdominal X-ray film were positive for stones in 20 cases, 2 were negative for stones. 2. Inspection methods B-Tip ureters and / or bilateral renal pelvis with mild to severe hydrocephalus, with multiple unilateral or bilateral renal calculi in 17 cases, or cast stone. X ray abdominal plain film (KUB) showed 20 positive cases stones, 2 cases were negative stones. negative stones by retrograde angiography to confirm the diagnosis .22 routine intravenous pyelography (IVP) examination showed bilateral renal pelvis and ureter showed poor or no development. 3. Cystoscopy after treatment with ureteral stone obstruction retrograde drainage through the site in 5 cases (both unilateral and placed through the double J tube, cut stone in a week, bilateral ureterolithotomy 3 cases. Simple renal fistula in 3 patients. of heavy water, serious infections, stone impaction at the edema, or a mold with multiple kidney stones, ureteral stents are placed, or fistula in 3 patients. the side of the kidney and ureter or ureterolithotomy in 6 .2 cases of poor general condition of patients who first hemodialysis until renal function improved after the surgery to improve the