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由于尿路梗阻,导致患侧肾积水,肾功能逐渐损害、甚至“无功能”在泌尿外科临床工作中屡见不鲜,传统的治疗方法是解除梗阻,只要对侧肾功能正常,对梗阻引起的“无功能”肾一般主张一同切除。近两年来,我科对3例一侧输尿管结石伴同侧肾脏“无功能”的患者单纯行输尿管切开取石,保留患肾,经随访证实解除梗阻以后“无功能”肾可恢复一定的功能。因此,我们对“无功能”肾的保肾治疗有一些初步体会。3例患者临床资料见表l、2。
Due to urinary tract obstruction, resulting in ipsilateral hydronephrosis, renal function gradually damaged, and even “no function” in urological clinical work is common, the traditional treatment is to lift the obstruction, as long as the contralateral kidney function is normal, caused by obstruction “ Non-functional ”kidney generally advocate resection. The past two years, our department on 3 cases of ureteral calculi with ipsilateral kidneys “non-functional” simple ureteral incision stone, retaining the kidney, confirmed by follow-up after the obstruction removed, “non-functional” kidney can restore some function. Therefore, we have some preliminary experience on the treatment of “nonfunctional” kidneys. The clinical data of 3 patients are shown in Table 1 and 2.