不同引流方式治疗恶性输尿管梗阻的效果观察

Clinical Observation of Different Drainage Methods in Treatment of Malignant Ureteral Obstruction

目的探讨不同引流方式治疗恶性输尿管梗阻的效果。方法选取70例2015-07—2016-07间收治的恶性输尿管梗阻患者,将50例采用输尿管支架置入术治疗的患者作为对照组,将20例采用经皮肾穿刺造瘘术治疗的患者作为观察组。比较2组的治疗效果。结果 2组患者的症状均较治疗前显著缓解,且2组肾盂分离、肌酐、尿素比较,差异无统计学意义(P>0.05)。对照组术后慢性疼痛、腰部不适、睡眠障碍等并发症均多于观察组(P<0.05),但2组血尿和泌尿系感染发生率无显著差异(P>0.05)。结论2种引流方法均能有效改善恶性输尿管梗阻患者的临床症状,可根据患者的病情进行选择。

Objective To explore the application of different drainage methods in the treatment of malignant ureteral obstruction.Methods 70 cases selected from our hospital from July 2015 to July 2016,they were randomly divided into two groups,50 patients in control group,20 in observation group. The control group was treated with ureteral stenting,the observation group was treated with percutaneous nephrolithotomy. he therapeutic effect and complication were compared between the two groups. Results After treatment,the symptoms of the two groups patients were effectively alleviated,There were no significant difference in the renal pelvis separation,creatinine between the two groups.In terms of postoperative complications,percutaneous nephrostomy was more effective than chronic ureteral stenting（ P〈0.05）; there was no difference between hematuria and urinary tract infections in chronic pain,lumbar discomfort and sleep disturbance（ P〉0.05）. Conclusion Whether the use of ureteral stent placement or percutaneous nephrostomy can effectively improve the clinical symptoms of patients with malignant ureteral obstruction,The clinical application can be based on the actual situation of patients with specific choice,we need pay attention to the occurrence of complications.