腔内技术治疗恶性肿瘤所致急性梗阻性肾功能衰竭(附17例报道)

Endourological Therapy for Acute Renal Failure Caused by Bilateral Malignant Ureteric Obstruction(A 17 Cases Report)

目的探讨恶性肿瘤所致急性梗阻性肾功能衰竭的腔内治疗方法。方法对17例因恶性肿瘤导致急性梗阻性肾功能衰竭的患者予以逆行输尿管D-J管置入或经皮肾造瘘术,观察术后疗效和并发症情况。结果 17例患者均成功行D-J管置入或经皮肾造瘘术,术后肾功能均有不同程度恢复。其中15例患者肾功能完全恢复正常,2例明显好转。术后未发生严重并发症。结论逆行输尿管D-J管置入和经皮肾造瘘术治疗恶性肿瘤所致急性梗阻性肾功能衰竭,手术安全、操作简单、疗效可靠。

Objective To explore the method and effect of endourological therapy for acute renal failure caused by bilateral malignant ureteric obstruction. Methods From December 2006 to June 2012,17 cases of acute renal failure caused by bilateral malignant ureteric obstruction were treated by endourological methods. 14 cases were treated by retrograde double-J stenting,3 by minimally invasive percutaneous nephrostomy（mPCN）. Effect and complications were observed. Results All patients had their urinary volume significantly increased and renal function improved after the procedures. No severe complications were observed. Conclusion Retrograde double-J stenting and minimally invasive percutaneous nephrostomy（mPCN） is safe, feasible and effective for acute renal failure caused by bilateral malignant ureteric obstruction.