中国临床医学2012,Vol.19Issue(6):658-659,2.
恶性肿瘤致肾积水患者逆行留置双J管的成功率及其影响因素分析
Success Rate and Influencing Factors of Retrograde Ureteral Stent Placement in Patients with Hydronephrosis Caused by Tumor
张豪杰 1盛璐 1陈燕忠 1孙忠全 1钱伟庆 1朱同玉2
作者信息
- 1. 复旦大学附属华东医院泌尿外科,上海200040
- 2. 复旦大学附属中山医院泌尿外科,上海 200032
- 折叠
摘要
Abstract
Objective:To investigate the success rates and influencing factors of retrograde ureteral stent placement in patients with hydronephrosis caused by tumor. Methods: From 2005 to 2011 , 61 cases with obstructive hydronephrosis caused by malignancies underwent retrograde ureteral stent placement in Huadong Hospital, Fudan University. The clinical data of them was retrospectively analyzed. Results; Among the 61 cases, 40 cases had been successfully placed double J stents (success group) and 21 cases had not (failure group). The serum hemoglobin, serum albumin, the rate of patients with hematuria and the rate of patients with hydronephrosis of both sides had no significant difference between the two groups. However, the rate of male patients and the rate of patients with radiotherapy history were significantly higher in the failure group than those in the success group. Especially, the average level of serum creatinine at the presentation of obstructive hydronephrosis was significantly different between the two groups. Conclusions: In patients with hydronephrosis caused by tumor, high serum creatinine level at the presentation of obstructive hydronephrosis, male and radiotherapy history were risk factors for the failure of placement of double J stents.关键词
恶性肿瘤/肾积水/双J管/肌酐Key words
Malignancy/Hydronephrosis/ Double J stent/ Creatinine分类
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张豪杰,盛璐,陈燕忠,孙忠全,钱伟庆,朱同玉..恶性肿瘤致肾积水患者逆行留置双J管的成功率及其影响因素分析[J].中国临床医学,2012,19(6):658-659,2.