晚期肿瘤致肾后性急性肾功能衰竭早期干预的临床研究

Early clinical intervention study of advanced tumor causing postrenal acute renal failure

目的探讨发生肾后性急性肾功能衰竭的晚期盆腔恶性肿瘤患者早期内引流的必要性和可行性。方法筛选出晚期恶性肿瘤已经导致早期上尿路梗阻患者,早期留置输尿管双J管引流,将治疗组手术成功率和发生急性肾功能衰竭(ARF)概率与对照组对比,并用Χ2检验分析有无统计学意义。结果对照组合并ARF的概率明显高于治疗组,发生ARF后再行手术引流成功率明显低于早期置管成功率。结论对于晚期盆腔恶性肿瘤导致上尿路梗阻的患者,早期输尿管引流,可以降低ARF的发生率,手术简单易行,具有良好临床疗效。

Objective This article is to investigate the necessity and feasibility that postrenal acute renal failure of malignant pelvic tumor patients were put into internal drainage.Methods Filter out the early upper urinary tract obstruction patients due to advanced malignant tumor,then place ureteral double-J-catheter drainage in an early stage.The success rate and ARF incidence of the treated group are compared with those of control group.Then the statistical significance is evaluated with Χ2-test-analysis.Results The ARF combination probability of the control group is much higher than that of the treated group.The success rate of internal drainage after ARF occurrence is much lower than that of placing double-J-catheter in early stage.Conclusions For the patients with upper urinary tract obstruction due to advanced malignant pelvic tumor,early urethral drainage can avoid the ARF.This operation is simple and clinically effective.