摘要
目的探讨盆腔肿瘤转移与浸润所出现的相关性输尿管梗阻、肾功能不全的处理方法及疗效。方法对10例盆腔肿瘤转移与浸润所出现的相关性输尿管梗阻、肾功能不全的患者,采用膀胱镜下逆行放置双J管内引流,观察双J管内引流及肾功能改善的情况。结果本组10例,均经膀胱镜下置入双J管内引流,其中一次性置管成功8例,二次置管成功2例,均引流通畅,肾功能均明显好转。随访期间1例死于转移或多器官功能衰竭,无一例死于肾功能衰竭。结论膀胱镜下放置双J管内引流,是处理盆腔肿瘤后转移与浸润所出现的相关性输尿管梗阻、肾功能不全较为理想的办法,麻醉方便、手术操作简便、安全性高、引流可靠等,值得在临床中推广应用。
Objective To investigate the treatment approach and efficacy of ureteral obstruction and renal insufficiency related with metastasis and infiltration of carcinoma.Methods From January 2005 to December 2009,10 cases of ureteral obstruction or renal insufficiency related with cancer metastasis and infiltration was analyzed retrospectively,the mean age was 56 year-old（range from 23 to 76 years）,of all,one case of gastric cancer,two cases of rectal cancer,six cases of uterine cervix cancer and one case of ovarian cancer.10 patients received cystoscopic ureteral stent placement,the drainage and renal function were better postoperatively.Results The ureteral stents were placed successfully in the first time cystoscopy in 8 of 10 cases,the rest 2 cases were placed during the second time cystoscopy,the drainage was complete and the renal function was improved in all cases.only one case died because of cancer metastasis and multiple organ failure,no renal failure related mortality occurred.Conclusions Cystoscopic ureteral stent placement for the treatment of ureteral obstruction related with cancer metastasis and infiltration is safe and feasible,it can performed under local anesthesia with a reliable drainage,this operation may be generally applied in clinical practice.
出处
《中华腔镜泌尿外科杂志（电子版）》
2010年第4期49-51,共3页
Chinese Journal of Endourology(Electronic Edition)
