恶性肿瘤合并双输尿管梗阻的介入治疗  

Interventional Treatment of Bilateral Ureteric Obstruction Caused by Malignancy

作　　者：程洪涛[1] 郭晨阳[1] 黎海亮[1] 郭旻[1] 肖金成[1] 胡鸿涛[1] 

机构地区：[1]河南省肿瘤医院放射介入科,河南450008

出　　处：《当代医学》2009年第23期414-416,共3页Contemporary Medicine

摘　　要：目的评价经皮双肾盂穿刺顺行性置入输尿管支架管治疗恶性肿瘤合并输尿管梗阻的临床疗效。方法对32例恶性肿瘤合并输尿管梗阻患者,采用CT扫描定位后行经皮双肾盂穿刺,穿刺成功后在透视监视下顺行性置入双输尿管支架管。置管后定期检测肾功能。采用Kaplan-Meier法进行生存分析。结果CT引导下经皮双肾盂穿刺成功率为100%,顺行性双输尿管支架管置入成功率为90.6%,成功置管的患者肾功能恢复正常的比率为100%,肾功能恢复正常的中位时间为4天(2～13天)。29例成功置管的患者平均生存时间为6.3个月。一过性血尿为最常见的并发症,发生率为100%。结论CT引导下经皮双肾盂穿刺顺行性置入输尿管支架管治疗恶性输尿管梗阻成功率高,可以逆转输尿管梗阻引起的肾功能衰竭。Objectives： To evaluate the efficacy of antegrade ureter-stents insertion in bilateral ureteric obstruction caused by malignancy. Methods： 32 cases of bilateral ureteric obstruction caused by malignant tumors were treated by percutaneous antegrade ureter-stents insertion. Results： Success in percutaneous antegrade ureter-stents insertion occurred in 90.6% （29/32）. The renal function recovery occurred in 100% （29/29） and maintained to death in 27 cases. The median time for renal function recovery was 4 days （2-13days）. Mean survival time of the 29 patients was 6.3months （2-20months）. Conclusion： Antegrade ureter-stents insertion has a high probability of success in bilateral ureteric obstruction caused by malignancy. Such renal failure can be reversed by antegrade ureter-stents insertion.

关 键 词：输尿管 梗阻 急性肾功能衰竭 恶性肿瘤 引流术 介入性放射学 输尿管支架 

分 类 号：R730.5[医药卫生—肿瘤] R693[医药卫生—临床医学]