晚期宫颈癌肾积水行输尿管支架内引流后再积水的治疗  

Treatment of recurrent obstruction after placing the ureteral stents in advanced cervical cancer

作　　者：刘佳[1] 杨盛[1] 张军[1] 谷现恩[1] LIU Jia;YANG Sheng;ZHANG Jun;GU Xian-en(Department of Urology, Affiliated Chuiyangliu Hospital of Tsinghua University, Beijing 100022, China)

机构地区：[1]清华大学附属北京市垂杨柳医院泌尿外科,北京100022

出　　处：《中国医刊》2019年第4期396-398,共3页Chinese Journal of Medicine

摘　　要：目的探讨晚期宫颈癌肾积水患者行输尿管支架内引流后,肾盂再积水的治疗方案。方法回顾性分析2014年1月至2016年6月清华大学附属北京市垂杨柳医院收治的19例初次放置支架后再积水的晚期宫颈癌患者的病例资料。19例患者年龄30～64岁,平均(47.0±10.1)岁,肾盂积水复发时间为3～15个月,中位复发时间为6个月,其中2例患者更换金属输尿管支架,10例更换直径更大的输尿管支架,7例放置单侧双输尿管支架。结果 2例更换金属支架及7例放置单侧双支架的患者术后随访6个月均未出现再积水,10例更换直径更大输尿管支架的患者有6例在术后2个月内出现再次积水,4例随访未出现再积水。结论放置单侧双支架或更换金属支架是治疗晚期宫颈癌肾积水内引流后再次积水的理想方案,较单纯更换直径更大的输尿管支架更为可靠。Objective To explore the method of treatment for recurrent obstruction after placing the ureteral stents in advanced cervical cancer. Method Retrospective analysis of 19 patients were recurrent obstruction after placing the ureteral stents ?rst time between Jan.2014 and Jun.2016,with a mean age of 47 years(range 30 to 64 years), the median time of recurrent hydronephrosis was 6 months(3 to15 months), 2 patients replace metallic ureteral stent, 10 patients was to replace a larger diameter, 7 patients were unilateral double stents placement. Result Two patients with metallic ureteral stent and 7 patients with double stents does not relapse hydronephrosis by follow-up of 6 months, among patients with replacement of larger diameter stents, there were 6 patients relapsing hydronephrosis within 2 month, 4 patients were followed up without recurrence. Conclusion This is ideal for treatment for recurrent obstruction by replacing metallic ureteral stent or unilateral double stents in advanced cervical cancer, it is more reliable than replacement of larger diameter stents.

关 键 词：宫颈癌 肾积水 输尿管支架 

分 类 号：R737.33[医药卫生—肿瘤] R692.2[医药卫生—临床医学]