Uropathy 尿路梗阻ppt课件.pptVIP

临床医学于波心房选择性钠通道阻滞剂在房颤中的应用颅内非肿瘤性病变的影像学表现基础医学慢性鼻窦炎鼻息肉围手术期综合治疗的临床指引泌尿生殖道感染衣原体检测和支原体培养及药敏结果分析 Obstructive Uropathy Dept. Of Urology. shanghai Renji Hospital WANG YIXIN General Conception Stone Obstruction Infection Renal function 1.Obstruction eventually Leads to decompensation of the muscular conduits and reservoirs,back pressure,and atrophy of renal parenchyma. 2.It also invites infection and stone formation. Pathologic consequences: infravesical Level of obstruction supravesical complete Degree of obstruction partial Nature of obstruction infection,injury,stone, tumor…… Duration of obstruction The conseqences include Incresed intraluminal pressure urinary stasis infection stone formation loss of renal function Etiology Congenital meatal stenosis ureteral strictures posterior urethral strictures ureterovesical junction obstruction ureteropelvic junction obstruction (various causes) neurologic deficites Acguired urethral strictures inflammatory or traumatic bladder outlet obstruction (BPH or PCA) vesical tumor neuroginec bladder extrinsic ureteral compression ureteral or pelvic stones, strictures and tumor The causes of hydrocalycosis The causes of hydronephrosis Pathogenesis (patholophysiology)1 The changes in the various segments in the urinary tract, depending on the obstructive severity and duration 1. Urethral changes: dilatation, diverticulum 2. Vesical changes: trabeculation, residual urine, diverticula 3. Ureteral changes: distention, dilatation and lengthening Pathogenesis (patholophysiology)2 4. Pelvicalyceal changes: first shows evidence of h