[1]施维凤,付光,鞠彦合,等.10例尿崩症导致上尿路积水患者的诊治体会[J].第三军医大学学报,2015,37(06):523-526.
 Shi Weifeng,Fu Guang,Ju Yanhe,et al.Diagnosis and treatment of hydronephrosis caused by diabetes insipidus: report of 10 cases and literature review[J].J Third Mil Med Univ,2015,37(06):523-526.
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10例尿崩症导致上尿路积水患者的诊治体会(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
37卷
期数:
2015年第06期
页码:
523-526
栏目:
专题报道
出版日期:
2015-03-30

文章信息/Info

Title:
Diagnosis and treatment of hydronephrosis caused by diabetes insipidus: report of 10 cases and literature review
作者:
施维凤付光鞠彦合陈国庆查丽华史文博廖利民
中国康复研究中心附属北京博爱医院泌尿外科
Author(s):
Shi Weifeng Fu Guang Ju Yanhe Chen Guoqing Zha Lihua Shi Wenbo Liao Limin

Department of Urology, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing, 100068, China

关键词:
尿崩症肾积水诊断治疗
Keywords:
diabetes insipidus hydronephrosis diagnosis treatment
分类号:
R584.3;R692.2
文献标志码:
A
摘要:

目的      总结尿崩症导致上尿路积水的临床特点,提高对该疾病的认识。      方法      回顾性分析2011年1月至2014年7月间,我院收治的10例尿崩症导致双侧上尿路积水患者临床资料,总结其诊治要点。      结果      多尿、多饮症状,尿比重、尿渗透压、禁水加压素试验、弥凝诊断性治疗对诊断尿崩症有确诊价值。中枢性尿崩症可通过醋酸去氨加压素类药物,肾性尿崩症可通过利钠利尿类药物治疗,辅助限制饮水、定时排尿,达到减少尿液产生,改善上尿路积水的治疗目的。      结论      该类疾病通常病程较长,误诊率较高,正确诊断该类疾病有助于减少不必要的外科干预。抗利尿治疗可有效改善尿崩症所致的泌尿道扩张和积水。

Abstract:

Objective      To analyze the clinical characteristics of patients with hydronephrosis caused by diabetes insipidus.       Methods      Clinical data from 10 patients with diabetes insipidus causing bilateral ureter dilatation and bilateral hydronephrosis in our hospital from January 2011 to July 2014 were retrospectively analyzed, and the law of diagnosis and treatment was summarized.       Results      Polyuria, polydipsia symptom, urine specific gravity, urine osmotic pressure, water deprivation vasopressin test, and minirin diagnostic treatment had diagnostic values for diabetes insipidus. Central diabetes insipidus was treated with desmopressin acetate tablets, and nephrogenic diabetes insipidus was treated with natriuretic drugs plus drinking water restriction and timed urination to reduce the volume of the produced urine and ultimately improve the hydronephrosis.       Conclusion      Diabetes insipidus usually has longer course of disease and high misdiagnosis rate, and correct diagnosis helps to reduce unnecessary surgical intervention. Anti-diuretic therapy is effective for alleviating urinary tract dilatation and hydronephrosis caused by diabetes insipidus.

参考文献/References:

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[2]那彦群, 叶章群, 孙颖浩, 等. 2014版中国泌尿外科疾病诊断治疗指南[M]. 北京: 人民卫生出版, 2014: 277-278. 
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[9]岳峰, 杨进益, 姜兴金, 等. 先天性肾性尿崩症合并非梗阻性双侧尿路扩张1例报告[J]. 中华泌尿外科杂志, 2012, 33(8): 640.
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更新日期/Last Update: 2015-03-20