摘要
目的:探讨输尿管恶性梗阻伴肾功能不全采用输尿管支架植入术治疗的效果。方法:选择输尿管恶性梗阻伴肾功能不全患者79例为研究对象,均择期行输尿管支架植入术治疗,按照支架置入路径不同将患者分为A组(逆行)和B组(顺行)。比较两组治疗前后肾功能指标(BUN、Scr、肾盂分离)、并发症发生情况。结果:本研究首次置入成功45例(56.96%),置入失败34例(43.04%),首次置入失败患者均转为顺行输尿管支架置入术治疗后,最终均置入成功。治疗前后,两组BUN、Scr、肾盂分离比较,差异均无统计学意义(P>0.05);但治疗后,两组BUN、Scr、肾盂分离均较治疗前改善(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:输尿管恶性梗阻伴肾功能不全采用输尿管支架植入术治疗在改善肾功能指标、减轻并发症方面效果显著,置入路径的选择可根据患者病情及个人意愿决定。
Objective:To investigate the effect of ureteral stenting on malignant ureteral obstruction with renal insufficiency.Method:A total of 79 patients with malignant ureteral obstruction and renal insufficiency were selected as the study objects.Patients were divided into group A (retrograde) and group B (antegrade) according to different stent placement paths.The changes of renal function indexes (BUN,Scr,pyelo separation) before and after treatment and complications were compared between the two groups.Result:In this study,45 cases (56.96%) were implanted successfully for the first time,34 cases (43.04%) failed to be implanted.All the patients who failed to be implanted for the first time were transferred to antegrade ureteral stent implantation,and finally all the patients were implanted successfully.Before and after treatment,there were no significant differences between the two groups in BUN,Scr and pyelo separation (P>0.05);but after treatment,BUN,Scr and pyelo separation in the two groups were improved compared with before treatment (P<0.05).The incidence of complications was compared between the two groups,there was no significant difference (P>0.05).Conclusion:Ureteral stenting for malignant ureteral obstruction with renal insufficiency has a significant effect on improving renal function indexes and reducing complications.The choice of placement path can be determined according to the patient’s condition and personal wishes.
作者
杜磊
DU Lei(Jilin FAW General Hospital,Changchun 130000,China)
出处
《中国医学创新》
CAS
2020年第3期140-143,共4页
Medical Innovation of China
基金
吉林省科学技术厅项目(201601011117JC)。
作者简介
通信作者:杜磊。
