恶性输尿管梗阻姑息性改道后生活质量的维持

Maintaining quality of life after palliative diversion for malignant ureteral obstruction.

作者信息

Markowitz D M, Wong K T, Laffey K J, Bixon R, Nagler H M, Martin E C

机构信息

Department of Radiology, College of Physicians and Surgeons of Columbia University, New York, New York.

出版信息

Urol Radiol. 1989;11(3):129-32. doi: 10.1007/BF02926495.

DOI:10.1007/BF02926495

PMID:2480679

Abstract

The records of 71 consecutive patients who underwent percutaneous nephrostomy for malignant ureteral obstruction were reviewed. The average post-nephrostomy survival time was seven months, of which 25% was spent in the hospital. When comparing these figures to older studies of open nephrostomy, the percutaneous procedure is associated with less morbidity and an increased percentage of time spent at home (75% compared to 36%). Long-term survival, however, is still poor, with only 25% of patients alive at one year. We suggest that the criteria previously adopted for open nephrostomy generally remain appropriate for patients being considered for percutaneous urinary diversion.

摘要

回顾了71例因恶性输尿管梗阻接受经皮肾造瘘术的连续患者的记录。肾造瘘术后平均生存时间为7个月，其中25%的时间是在医院度过的。将这些数据与早期开放性肾造瘘术的研究相比，经皮手术的发病率较低，在家度过的时间百分比增加（分别为75%和36%）。然而，长期生存率仍然很低，只有25%的患者在1年后存活。我们认为，先前用于开放性肾造瘘术的标准通常仍适用于考虑行经皮尿液改流的患者。