输尿管支架对中晚期宫颈癌输尿管梗阻的治疗效果研究

发布时间：2018-03-20 03:35

本文选题：宫颈癌　切入点：输尿管梗阻　出处：《泸州医学院》2014年硕士论文　论文类型：学位论文

【摘要】：目的：研究采用输尿管支架对中晚期宫颈癌输尿管梗阻的临床治疗效果。方法：收集我院2010年6月至2013年6月就诊的30例因中晚期宫颈癌所致输尿管梗阻患者，采用输尿管支架置入治疗，术后1月复查B超及肾功能。结果：成功置管22例（73.3%），随访时间1-24个月，平均时间3个月，非置管因素死亡10例，其余12例存活患者的腰痛症状明显好转，与置管前比较，轻度、中度、重度肾积水程度均明显减轻，术后肾功能肌酐、尿素氮水平明显改善（P0.05）。未出现严重并发症。结论：中晚期宫颈癌继发输尿管梗阻的患者，采用输尿管内留置输尿管支架治疗具有成功率较高、效果明显、患者痛苦小、以及并发症发生率低的优点。置管后需密切监测，定期更换。
[Abstract]:Objective: to study the clinical effect of ureteral stents in the treatment of ureteral obstruction of advanced cervical cancer. Methods: from June 2010 to June 2013, 30 patients with ureteral obstruction caused by advanced cervical cancer in our hospital were collected. The ureteral stents were implanted into the ureter, and the B-ultrasound and renal function were re-examined on January. Results: 22 cases with successful catheterization were followed up for 1-24 months with an average time of 3 months, 10 cases died from non-catheterization factors. The symptoms of low back pain in the remaining 12 patients were obviously improved, compared with those before catheterization, the degree of hydronephrosis in mild, moderate and severe cases was obviously alleviated, and the renal function creatinine was found after operation. There were no serious complications in ureteral ureteral obstruction. Conclusion: ureteral stents with ureteral indwelling for patients with secondary ureteral obstruction in advanced cervical cancer have high success rate, obvious effect and less pain. And the advantages of low incidence of complications. After tube placement, need to be closely monitored, regular replacement.
【学位授予单位】：泸州医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.33

【参考文献】