逆行输尿管置架在中晚期宫颈癌继发输尿管梗阻中的应用价值分析  

Analysis of the value of retrograde ureteral stenting for ureteral obstruction in treating patients with cervical cancer at secondary and advanced stages

作　　者：李园[1] 武跃清[1] 郭新武[1] 李金乾[1] 

机构地区：[1]河南省南阳市第二人民医院泌尿外科,河南南阳473000

出　　处：《医学研究与教育》2017年第6期7-11,共5页Medical Research and Education

摘　　要：目的评价逆行输尿管置架治疗中晚期宫颈癌继发输尿管梗阻的临床效果。方法将78例中晚期宫颈癌继发输尿管梗阻患者分为观察组和对照组,每组39例,对照组患者采用经皮肾造瘘术治疗,观察组患者采用逆行双J管输尿管置架术治疗,比较2组围手术期指标,治疗前后血肌酐、血尿素氮水平以及肾盂分离值,手术成功率和术后并发症情况。结果观察组手术时间、术中出血量和住院时间明显低于对照组(P<0.05),术后肾功能恢复时间2组比较差异无统计学意义(P>0.05);2组治疗前后血肌酐、血尿素氮和肾盂分离差值比较差异亦无统计学意义(P>0.05);对照组成功率明显高于观察组(P<0.05);对照组慢性疼痛的发生率高于观察组(P<0.05)。结论逆行输尿管置架和经皮肾造瘘手术均是治疗输尿管梗阻的有效手段,逆行输尿管置架手术时间短、出血量少,患者住院时间短,患者术后生活质量高。但经皮肾造瘘手术成功率更高。Objective To evaluate the clinical effects of retrograde ureteral stent placement in the treatment of patients with secondary and advanced cervical cancer. Methods 78 cases with secondary ureteral obstruction andadvanced cervical carcinoma were divided into observation group and control group, 39 cases in each group, percutaneous nephrostomy was applied in treating the patients in the controls, the observation group were treatedwith retrograde double J tube ureteral stenting treatment, the perioperative indexes, serum creatinine, blood ureanitrogen level and the renal pelvis separation values before and after treatment, complications and postoperativesurgical success rate were compared between the two groups. Results The operation time, bleeding volume andhospitalization time of observation group was significantly lower than that of the control group （P〈0 05）, postoperative renal function recovery time between the two groups showed no significant difference （P〉0 05）. Therewas also no significant difference about the serum creatinine, blood urea nitrogen and renal pelvis separation value difference between the two group after treatment （P〉0 05）. The success rate of the control group was significantly higher than the observation group （P〈0 05）. The control group the incidence of chronic pain was higher than that of the observation group （P〈0 05）. Conclusion Retrograde catheterization of ureters and percutaneous nephrolithotomy surgery are effective means for the treatment of ureteral obstruction, which have some advantages such as retrograde ureteral rack of shorter operative time, less bleeding, short hospitalization time, hig

关 键 词：逆行输尿管置架 中晚期宫颈癌 输尿管梗阻 疗效 

分 类 号：R73[医药卫生—肿瘤]