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恶性肿瘤晚期引起的输尿管阻塞时,为了改善尿的引流问题,选择适当的尿路改道术,从而改善全身情况,达到延长存活时间的目的。本文作者就尿路改道的病例进行了随访分析。作者自1975年7月至1979年11月在4年5个月中,做了34例37次因晚期肿瘤引起的输尿管阻塞的尿路改道术。其中男12例,女22例。年龄35岁至85岁,平均63.4岁。原疾病中,子宫癌21例,膀胱癌4例,前列腺癌4例,直肠癌2例,乙状结肠癌1例,胃癌1例,肾癌1例。尿路改道方法,双侧输尿管皮肤造瘘13例,单侧输尿管皮肤造瘘2例,单侧肾造瘘十对侧输尿管造瘘2例,双侧肾造瘘10例,单侧肾造瘘7
Late malignant ureteral obstruction, in order to improve the drainage of urine problems, choose the appropriate urinary tract diversion, thereby improving the general condition, to extend the survival time purposes. The author of the urinary tract diversion cases were followed up analysis. From July 1975 to November 1979 in four years and five months, the authors performed 34 cases of urinary tract diversion due to advanced tumor-induced ureteral obstruction in 37 patients. There were 12 males and 22 females. Aged 35 to 85 years old, average 63.4 years old. In the original disease, 21 cases of uterine cancer, 4 cases of bladder cancer, 4 cases of prostate cancer, 2 cases of rectal cancer, 1 case of sigmoid colon cancer, 1 case of gastric cancer, 1 case of kidney cancer. Urinary diversion method, bilateral ureteral skin ostomy in 13 cases, unilateral ureteral skin ostomy in 2 cases, unilateral ureterostomy ten contralateral ureterostomy in 2 cases, bilateral renal ostomy in 10 cases, unilateral renal ostomy 7