恶性肿瘤后期治疗引起输尿管狭窄的泌尿外科处理  

Department of urology treatment for ureteral stricture caused by late stage treatment of malignant tumor

作　　者：杨江[1] 熊燕翔 陈光[1] Yang Jiang;Xiong Yanxiang;Chen Guang(Department of Urology,Liuzhou Worker's Hospital,Guangxi 545005)

机构地区：[1]柳州市工人医院泌尿外科,广西545005

出　　处：《中国社区医师》2018年第36期79-80,共2页Chinese Community Doctors

摘　　要：目的:比较恶性肿瘤后期治疗引起输尿管狭窄的常规手术与微创双J管逆行置入术的效果。方法:收治盆腔恶性肿瘤患者中发生输尿管狭窄患者62例,分观察组(微创双J管逆行置入术)32例和对照组(常规手术)30例。比较两组手术情况、住院情况、手术前后肾功能指标变化情况以及手术并发症。结果:观察组平均手术时间、术中平均出血量及术后平均住院时间均显著少于对照组(P<0.05);两组患者术后1周SCr、BUN水平均显著低于同组术前(P<0.05);观察组患者术后并发症总发生率显著低于对照组(P<0.05)。结论:微创双J管逆行置入术治疗恶性肿瘤后期治疗引起的输尿管狭窄疗效确切,效果优于常规手术。Objective:To compare the effect of conventional operation and minimally invasive double J-tube retrograde placement for ureteral stricture caused by late treatment of malignant tumors.Methods:62 cases of ureteral stricture in patients with pelvic malignant tumor were divided into the observation group(minimally invasive double J tube retrograde placement)with 32 cases and the control group(routine operation)with 30 cases,the operation,hospitalization,changes of renal function and complications were compared between the two groups.Results:The mean operative time,intraoperative bleeding volume and postoperative hospitalization time of the observation group were significantly lower than those of the control group(P<0.05).The levels of SCr and BUN in the two groups were significantly lower than those in the same group 1 week after operation(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion: Minimally invasive double J-tube retrograde placement for ureteral stricture caused by late treatment of malignant tumors is effective and superior to conventional surgery.

关 键 词：恶性肿瘤 输尿管狭窄 双J管 肾功能 并发症 

分 类 号：R730.5[医药卫生—肿瘤] R699[医药卫生—临床医学]