[1]王精兵,王悍,安潇,等.盆腔恶性肿瘤致肾后性肾衰竭的双介入治疗[J].介入放射学杂志,2008,(09):645.
 WANG Jingbing,WANG Han,AN Xiao,et al.Double intervention in management of acute obstructive renal failure due to pelvic malignancies[J].journal interventional radiology,2008,(09):645.
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盆腔恶性肿瘤致肾后性肾衰竭的双介入治疗()

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

卷:
期数:
2008年09期
页码:
645
栏目:
非血管介入
出版日期:
2008-09-15

文章信息/Info

Title:
Double intervention in management of acute obstructive renal failure due to pelvic malignancies
作者:
王精兵王悍安潇
200080上海交通大学附属第一人民医院放射科
Author(s):
WANG Jing-bingWANG HanAN XiaoWANG Lin-chuanGAO Li-qiangZHANG Gui-xiang.
Department of Interventional Radiology,Affiliated1st People’s Hospital,Shanghai Jiao Tong University.Shanghai200080,China.
关键词:
输尿管狭窄肾功能不全输尿管支架经皮穿刺肾造瘘恶性肿瘤
分类号:
R737
文献标志码:
A
摘要:
目的探讨经皮穿刺顺行输尿管支架置放术结合区域性动脉化疗对盆腔原发或转移性肿瘤合并急性肾衰竭的临床价值及安全性。方法对18例盆腔恶性肿瘤伴双侧输尿管梗阻致肾后性肾功能不全的患者,行一侧经皮穿刺顺行放置输尿管支架,肾功能恢复后3~5d行区域性动脉插管化疗。结果17例输尿管支架置放术一次手术获成功,1例患者左侧肾造瘘失败且发生肾周血肿,后经导管节段性动脉栓塞止血,5d后经右肾造瘘成功。无其他严重并发症。术前血肌酐175.40~1040.70μmol/L,6例存在出血倾向,所有患者肾造瘘2~7d后肾功能恢复正常,随后进行3~8次动脉常规剂量化疗。随访时间3~15个月,平均7个月。结论经皮穿刺顺行输尿管支架置放术结合区域性动脉化疗,治疗盆腔原发或转移性肿瘤合并急性肾衰竭安全、可行、并发症少,可延长患者生存期。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2008-07-21
更新日期/Last Update: 2008-09-15