Desportes L, Blanchet P, Benoît G, Lecouturier S, Langloys J, Decaux A, Di Palma M, Richard C, Jardin A
Service d'Urologie, Hôpital de Bicêtre, Université Paris-Sud, le Kremlin-Bicêtre.
Presse Med. 1995 Oct 7;24(29):1332-6.
Neoplasic obstruction of the ureter is observed in patients with pelvic or extra-pelvic cancer. Indications of upper urinary tract drainage need to be clarified.
Percutaneous nephrostomy or double J catheter drainage was performed in 104 patients with ureteral obstruction due to pelvic cancer (bladder, prostate, uterus, ovary, rectum) or extra-pelvic cancer (usually breast and digestive cancers). Percutaneous nephrostomy or double J catheter was the first drainage procedure in 85 and 76 patients respectively.
Success rate in first intention drainage was 74.5% with the double J catheter. When this procedure was impossible, percutaneous nephrostomy was always performed. In 52 cases we attempted to convert the nephrostomy to double J catheter drainage. Success rate was 68.8%. The main complications observed were ineffective drainage (12.5%) and infection (10.5%).
These patients have a mean survival of 6.8 months despite the chemotherapy which is facilitated by the improved renal function.
盆腔或盆腔外癌症患者会出现输尿管肿瘤性梗阻。需要明确上尿路引流的指征。
对104例因盆腔癌（膀胱、前列腺、子宫、卵巢、直肠）或盆腔外癌（通常为乳腺癌和消化道癌）导致输尿管梗阻的患者进行了经皮肾造瘘术或双J导管引流术。经皮肾造瘘术或双J导管分别是85例和76例患者的首次引流方法。
双J导管一期引流成功率为74.5%。当该方法不可行时，总是进行经皮肾造瘘术。在52例患者中，我们尝试将肾造瘘术转换为双J导管引流。成功率为68.8%。观察到的主要并发症是引流无效（12.5%）和感染（10.5%）。
尽管进行了化疗，但这些患者的平均生存期为6.8个月，肾功能的改善对此有帮助。
