直肠癌术后复发致输尿管下段梗阻的处理

Ureteral obstruction caused by recurring rectal cancer

目的总结直肠癌术后并发输尿管下段梗阻的处理方法。方法采用血液透析，输尿管皮肤造口术，输尿管支架术，输尿管记忆合金支架，膀胱壁瓣输尿管成形术，输尿管Ｔ管引流术及肾盂造瘘７种方法，处理２０例此类病人。结果２０例患者尿液引流通畅，全身情况及尿毒症症状迅速改善。结论以上处理方法对提高病人的生活质量，延长病人生命有积极作用。

Objective To present 20 cases of ureteral obstruction caused by recurring rectal cancer. Methods From 1988～1997,419 cases of rectal cancer have been surgically treated among which ureteral obstruction caused by a recurred cancer occurred in 20 (4.7%).Hemodialysis,uretero cutaneostomy,ureter trestle,ureter recalled alloy trestle,ureter T tube drainage,ureterovesicostomy or pyelostomy has been performed to relieve the obstruction. Conclusions Proper management should be instituted for such cases in order to improve the life quality.