[1]李虎子,郭 志,司同国,等. 不同引流方式在恶性输尿管梗阻治疗中的应用探讨[J].介入放射学杂志,2012,(09):776-779.
　LI Hu- zi,GUO Zhi,SI Tong- guo,et al. Clinical application of different pyelic drainage methods in the management of malignant ureteral obstruction[J].journal interventional radiology,2012,(09):776-779.
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 不同引流方式在恶性输尿管梗阻治疗中的应用探讨 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年09期
页码:
776-779
栏目:
临床研究
出版日期:
2012-09-30

文章信息/Info

Title:
 Clinical application of different pyelic drainage methods in the management of malignant ureteral obstruction
作者:
 李虎子;  郭 志;  司同国;  王海涛
Author(s):
 LI Hu- zi;  GUO Zhi;  SI Tong- guo;  WANG Hai- tao.
 Department of Interventional Therapy， Cancer Hospital and Institute of Tianjin Medical University， Tianjin 300060， China
关键词:
 ; 【关键词】 恶性输尿管梗阻;  肾功能不全;  肾穿刺造瘘;  输尿管支架
文献标志码:
A
摘要:
 【摘要】 目的 评价输尿管支架置入术（IUS）及经皮肾穿刺造瘘（PCN）治疗对恶性输尿管梗阻肾功能不全患者肾功能改善以及对生活质量的影响，探讨其适应证的选择。方法 回顾分析75例恶性输尿管梗阻致肾积水肾功能不全患者治疗经过，分别采用逆行输尿管支架置入术、顺行输尿管支架置入术、经皮肾穿刺造瘘术。于治疗前、治疗后检查肌酐、尿素、肾盂分离、生活质量变化，总结PCN及IUS适应证的选择。结果 治疗后肾盂分离、肌酐、尿素分别由（2.76 ± 1.25）cm、（377 ± 236）mmol/L、（19.1 ± 8.4）mmol/L下降至（1.32 ± 0.60）cm（P ＜ 0.01）、（149 ± 106） mmol/L（P ＜ 0.01）、（12.9 ± 6.6）mmol/L（P ＜ 0.01）；生活质量评分分别由86.2 ± 9.8下降至84.4 ± 9.2（P ＜ 0.01）。结论 IUS和PCN对于恶性输尿管梗阻引起的肾积水、肾功能不全、生活质量下降均有改善作用，需根据患者身体状况及意愿等选择不同的引流方式。

参考文献/References:

 ［1］ Radecka E， Magnusson M， Magnusson A. Survival time and period of catheterization in patients treated with percutaneous nephrostomy for urinary obstruction due to malignancy［J］. Acta Radiol， 2006， 47： 328 ?蛳 331.
［2］ Chiou RK， Chang WY， Horan JJ. Ureteral obstruction associated with prostate cancer： the outcome after percutaneous nephrostomy［J］. J Urol， 1990， 143： 95 ?蛳 959.
［3］ Markowitz DM， Wong KT， Laffey KJ， et al. Maintaining quality of Life after palliative diversion for malignant ureteral obstruction［J］. Urol Radiol， 1989， 11： 129 ?蛳 132.
［4］ Elias SH， Ojas S. Malignant extrinsic ureteral obstruction： a survey of urologists and medical oncologists regarding treatment patterns and preferences［J］. Urology， 2008， 72： 51 ?蛳 56.
［5］ 辛明华， 辛 军， 黄志扬， 等． 一步式经皮肾穿刺造瘘法治疗33例恶性肿瘤继发输尿管梗阻［J］． 中国临床研究， 2011， 24： 594 ?蛳 595．
［6］ Ganatra AM， Loughlin KR. The management of malignant ureteral obstruction treated with ureteral stents［J］. J Urol， 2005， 174： 2125 ?蛳 2128.
［7］ Chung SY， Stein RJ， Landsittel D， et al. 15?蛳 year experience with the management of extrinsic ureteral obstruction with indwelling ureteral stents［J］. J Urol， 2004， 172： 592 ?蛳 595.
［8］ 陈云清， 梁华良， 黄芳伟，等． 膀胱镜下双J管置入术治疗肿瘤转移与浸润相关性输尿管梗阻的疗效探讨［J］． 中华腔镜泌尿外科杂志： 电子版， 2010， 04： 316 ?蛳 318．
［9］ Aravantinos E， Anagnostou T， Karatzas AD， et al. Percutaneous nephrostomy in patients with tumors of advanced stage：treatment dilemmas and impact on clinical course and quality of Life［J］. J Endourol， 2007， 21： 1297 ?蛳 1302.
［10］ Joshi HB， Adams S， Obadeyi OO， et al. Nephrostomy tube or ’JJ’ ureteric stent in ureteric stent in ureteric obstruction：assessment of patient perspectives using quality?蛳 of?蛳 life survey and utility analysis［J］.Eur Urol， 2001， 39： 695 ?蛳 701.
［11］ Patel U， Abubacker MZ. Ureteral stent placement without postprocedural nephrostomy tube： experience in 41 patients［J］. Radiology， 2004， 230： 435 ?蛳 442.
［12］ Uthappa MC， Cowan NC. Retrograde or antegrade double?蛳 pigtail stent placement for malignant ureteric obstruction?［J］. Clin Radiol， 2005， 60： 608 ?蛳 612.
［13］ 温星桥， 高 新， 蔡育彬， 等． 改良一步式经皮肾造瘘法应用疗效评价［J］． 中华泌尿外科杂志， 2007， 28： 515 ?蛳 517．

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备注/Memo

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 （收稿日期：２０１2-０3-15）
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