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目的探讨腹膜后纤维化导致输尿管梗阻、肾功能不全治疗的可行性方法。方法对15例腹膜后纤维化导致输尿管梗阻的癌症患者,采用输尿管放置双J管内引流、经皮肾造瘘等处理,观察引流情况及肾功能改善情况。结果 12例行输尿管镜放置双J管内引流,3例行经皮肾造瘘引流,均引流通畅,肾功能恢复或接近正常。结论输尿管镜放置双J管内引流或经皮肾造瘘引流,处理腹膜后纤维化导致的输尿管梗阻,手术操作简单,安全,引流可靠,早期干预效果好。
Objective To investigate the feasibility of retroperitoneal fibrosis leading to ureteral obstruction and renal insufficiency. Methods Fifteen cases of retroperitoneal fibrosis leading to ureteral obstruction in patients with cancer, ureteral placement of double J tube drainage, percutaneous nephrostomy and other treatment to observe the drainage and improvement of renal function. Results 12 cases of ureteroscopy placed double J tube drainage, 3 cases of percutaneous nephrostomy drainage, drainage were smooth, renal function recovered or near normal. Conclusions Ureteroscopy placed double J tube drainage or percutaneous nephrostomy drainage, ureteral obstruction caused by retroperitoneal fibrosis, surgical operation is simple, safe, reliable drainage, early intervention is effective.