顺行放置双猪尾巴输尿管支架治疗恶性输尿管狭窄  

Antegrade Double-Pigtail Stent in Management of Ureteral Obsturction due to Pelvic Malignancies

作　　者：钱晟[1] 颜志平[1] 王建华[1] 龚高全[1] 陈颐[1] 罗剑钧[1] 

机构地区：[1]上海医科大学附属中山医院放射科,上海200032

出　　处：《实用放射学杂志》2002年第6期495-497,共3页Journal of Practical Radiology

摘　　要：目的　探讨对盆腔原发或转移性肿瘤合并尿路梗阻的患者动脉插管化疗前后采用经皮穿刺顺行输尿管支架置放术的技术方法及可行性。方法　对 7例恶性肿瘤伴输尿管狭窄的患者行经皮穿刺顺行放置输尿管支架 ,联合动脉插管化疗。随访时间 2～ 8个月 ,平均 5个月。结果　 7例输尿管支架置放术均获成功 ,病人尿路梗阻解除 ,能耐受动脉插管的常规化疗剂量。 1例出现反复血尿及尿路感染 ,余 6例无严重并发症。结论　对恶性肿瘤导致输尿管狭窄、梗阻的病人在动脉插管化疗过程中顺行放置输尿管支架解除尿路梗阻 ,是一种简便、有效、可行。Objective To evaluate the value of percutaneous nephrostomy(PCN) and antegrade Double-pigtail stents in management of ureteral obstruction secondary to pelvic malignant tumor during transcatheter arterial infusion chemotherapy.Methods Percutaneous nephrostomy and stenting were done in 7 cases of malignant ureteral obstruction with follow-up time 2～8 months.Results All attemp were success,with relief of ureteral obstruction.Repeat hematuria and ureteral infection occurred in one case.Conclusion PCN and antegrade stenting are available,safe,acceptable treatment in patients with malignant ureteral obstruction during TAI.

关 键 词：输尿管狭窄 输尿管支架 经皮穿刺肾造瘘 恶性盆腔肿瘤 

分 类 号：R739.93[医药卫生—肿瘤] R693.2[医药卫生—临床医学]