Sountoulides Petros, Pardalidis Nikolaos, Sofikitis Nikolaos
Urology Department, University Hospital of Ioannina, Ioannina, Greece.
J Endourol. 2010 Jan;24(1):129-42. doi: 10.1089/end.2009.0157.
Obstruction of the upper urinary tract is a problem commonly faced by practicing urologists. The constant evolution in endourology has effectively facilitated minimally invasive management of upper-tract obstruction. In a case in which malignancy is the cause of obstruction, however, the situation significantly changes. Questions arise regarding the need for relieving the obstruction, the means to accomplish this, and the benefits and drawbacks of each technique regarding both their efficacy and their impact on the patients well-being and the crucial issue of quality of life in the face of malignancy.
上尿路梗阻是泌尿外科医生在临床工作中经常遇到的问题。腔内泌尿外科技术的不断发展有效地促进了上尿路梗阻的微创治疗。然而，在恶性肿瘤导致梗阻的情况下，情况会发生显著变化。对于是否需要解除梗阻、实现这一目标的方法，以及每种技术在疗效、对患者健康的影响以及面对恶性肿瘤时生活质量这一关键问题上的利弊，都会出现疑问。
