论文部分内容阅读
目的探讨逆行/顺行插置金属支架术和经皮肾穿刺后造瘘术治疗恶性肿瘤伴输尿管梗阻的临床效果。方法选取大理州人民医院2015年5月—2016年5月收治的恶性肿瘤并输尿管梗阻患者54例,随机分为A组和B组,各27例。A组患者给予逆行/顺行插置金属支架术治疗,B组患者给予皮肾穿刺造瘘术治疗。比较两组患者手术时间、住院时间,术后3、7 d血肌酐水平及肾功能恢复时间。结果 A组患者手术时间、住院时间短于B组,肾功能恢复时间长于B组,血肌酐水平高于B组(P<0.05)。结论经皮肾穿刺造瘘术治疗恶性肿瘤并输尿管梗阻临床效果明显,但手术时间、术后恢复时间相对较长;逆/顺输尿管的金属支架置入术时间短、患者住院时间短,但解除梗阻时间相对较长,因此临床医师需根据患者的实际情况选用适宜的手术方式,以实现有效缓解病情的目的。
Objective To investigate the clinical effect of retrograde / cis-placement of metal stents and percutaneous nephrostomy in the treatment of malignant tumors with ureteral obstruction. Methods 54 cases of malignant tumor with ureteral obstruction admitted from May 2015 to May 2016 in Dali People’s Hospital were randomly divided into A group and B group, with 27 cases in each group. Patients in group A were treated with retrograde / cis-implanted metal stents, and patients in group B were treated with percutaneous nephrostomy. The operation time, hospitalization time, serum creatinine level and renal function recovery time at 3 and 7 days after operation were compared between the two groups. Results The operation time and hospital stay in group A were shorter than that in group B, the recovery time of renal function was longer than that in group B, and the serum creatinine was higher than that in group B (P <0.05). Conclusion The clinical effect of percutaneous nephrostomy in the treatment of malignant tumors and ureteral obstruction is obvious, but the operation time and postoperative recovery time are relatively long. The metal stents in the reverse / Obstruction time is relatively long, so clinicians need to select the appropriate surgical approach based on the actual situation of the patient in order to achieve the purpose of effectively alleviate the condition.