摘要：目的：探讨输尿管结石梗阻致急性肾功能衰竭的治疗方法。方法：采用输尿管镜直视下取石、气压弹道碎石或将结石推回肾盂结合体外冲击波碎石等方法。治疗输尿管结石梗阻致肾功能衰竭45例，术后均留置双J管。结果：45例均临床治愈，疗效满意。结论：应用输尿管镜治疗输尿管结石梗阻性急性肾功能衰竭，具有疗效可靠、安全、损伤小的优点，能同时处理双侧输尿管病变，有条件者可作首选治疗方法。

    关键词：输尿管镜;输尿管结石;梗阻;急性肾功能衰竭

    Ureteroscopic Manipulation :Treatment of UreterolithComplicated With Acute Renal Failure

    XU Jian-bin, WU Hong, HUANG Hai-wen, et al

    (The People's Hospital of Zhanjiang, Guangdong Zhanjiang 524037, China)

    Abstract： Objective： To study the value of ureteroscopic manipulation in the treatment of acute renal failure of uretera stone.Methods： 45 cases were treated by breaking and extracting stones under ureteroscopy , or by pushing back the stone into the renal pelvis. A double-J cather was left in all patients after ureteroscopic manipulation .Result： All cases were cured .Conclusion： Ureteroscopic manipulation is believed to be a safe and effective method for the treatment of complicating acute renal failure. ......