【药物性多尿在肾结石患者手术治疗中的应用】。

Urologiia i nefrologiia Pub Date : 1998-09-01
Iu A Pytel', L M Rapoport, V I Rudenko
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引用次数: 0

摘要

近年来,药物性多尿在诊断和治疗中得到了广泛的应用:检测潜在的尿功能不全,评估肾结石和肾盂肾炎对侧(未受影响)肾脏的功能表现,刺激降解混凝土碎片的消除,检查尿路手术修复后缝合线的不渗透性,肾盂积水的功能区。临床经验表明,在肾盂取石术的某些阶段使用利尿剂,以动员肾内骨盆并剥离,清除结石并随后缝合肾内骨盆。治疗性多尿也可促进输尿管取石术。
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[Drug-induced polyuria in the surgical treatment of patients with nephrolithiasis].

Recently, drug polyuria has found wide application in diagnosis and treatment: to detect latent urinary insufficiency, to assess functional performance of the contralateral (unaffected) kidney in nephrolithiasis and calculous pyelonephritis, to stimulate elimination of fragments of the disintegrated concrement, to check up suture impermeability after surgical repair of the urinary tracts, to outline afunctional zone in hydronephrosis. Clinical experience gives grounds for use of saluretics at certain stages of pyelolithotomy for mobilization of intrarenal pelvis and its dissection, removal of the calculus and subsequent suturing of the intrarenal pelvis. Therapeutic polyuria can also facilitate ureterolithotomy.

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