Urological treatment of ureteral obstruction secondary to gynecological tumors
妇科肿瘤继发输尿管梗阻的泌尿外科治疗

摘要

目的 研究分析对妇科肿瘤继发输尿管梗阻的外科治疗方法及其疗效。方法 此次研究采取回顾性研究方式进行，将纳入57例妇科肿瘤继发输尿管梗阻患者的临床资料作为研究标本，其中包括31例单侧梗阻、26例双侧梗阻，均行逆行、顺行留置双J管治疗，对于置管失败的患者采取经皮肾穿刺造瘘术治疗。结果 在对31例单侧梗阻患者留置双J管时，26例成功，26例双侧梗阻患者16例置管成功，共计42例患者成功置管；据调查数据显示，置管后1周～6个月内有9例再次梗阻，并已对其成功更换双J管。此外，对42例成功置管患者行1~36个月的随访，情况均比较稳定。此外，对15例置管失败患者行经皮肾穿刺造瘘术治疗，效果良好，无并发症情况。结论 对妇科肿瘤继发输尿管梗阻患者实施留置双J管或经皮肾穿刺造瘘术治疗均能够达到良好疗效，同时应将留置双J管作为首选治疗方法。

Abstract

Objective To study and analyze the surgical treatment methods and curative effects of ureteral obstruction secondary to gynecological tumors.
Methods This study was conducted retrospectively, and the clinical data of 57 patients with ureteral obstruction secondary to gynecological tumors were included as research samples, including 31 cases of unilateral obstruction and 26 cases of bilateral obstruction, all of which were retrograde and antegrade Indwelling double J tubes were used for treatment, and percutaneous nephrostomy was used for patients who failed to place tubes.
Results Among the 31 patients with unilateral obstruction, 26 cases were successful in indwelling double J tubes, 16 cases were successfully intubated in 26 patients with bilateral obstruction, and a total of 42 patients were successfully intubated; Within 6 months, there were 9 cases of re-obstruction, and the double J tube was successfully replaced. In addition, 42 patients with successful catheterization were followed up for 1 to 36 months, and the conditions were relatively stable. In addition, 15 cases of catheter failure were treated with percutaneous nephrostomy, and the effect was good without complications.
Conclusion   For patients with ureteral obstruction secondary to gynecological tumors, indwelling double-J tubes or percutaneous nephrostomy can achieve good results, and indwelling double-J tubes should be the first choice for treatment.