Van Dyke A H, Van Nagell J R
Surg Gynecol Obstet. 1975 Sep;141(3):371-3.
The findings of the present investigation confirm that no patient with total ureteral obstruction by recurrent cancer survived longer than two years after pelvic exenteration. In contrast,ver 50 per cent of those patients with normal intravenous pyelograms are alive with no evidence of disease two to ten years after radical operation. There is no question that all patients with recurrent carcinoma of the cervix uteri who are satisfactory candidates for radical operative procedures should undergo exploration to determine the extent of the disease and the possibility to curative resection. However, when total ureteral obstruction is found to be caused by a tumor, patient survival is so limited as to make pelvic exenteration impractical.
本次调查结果证实，因复发性癌症导致输尿管完全梗阻的患者，在盆腔脏器清除术后存活时间均未超过两年。相比之下，静脉肾盂造影正常的患者中，超过50%在根治性手术后两到十年仍存活且无疾病迹象。毫无疑问，所有适合进行根治性手术的子宫颈复发性癌患者都应接受探查，以确定疾病范围及根治性切除的可能性。然而，当发现输尿管完全梗阻是由肿瘤引起时，患者的存活时间极为有限，以至于盆腔脏器清除术并不实际可行。
