Sharer W, Grayhack J T, Graham J
J Urol. 1978 Aug;120(2):162-4. doi: 10.1016/s0022-5347(17)57087-1.
An analysis of 62 palliative urinary diversions for malignant ureteral obstruction is presented. The average postoperative survival was 187 days. Cell type, duration of known disease, tumor grade and stage, renal function and previous therapy did not strongly influence survival. Renal function returned to normal in 64 per cent of the azotemic patients. Morbidity and mortality rates were high, largely because of underlying disease and adjuvant therapy . Nearly two-thirds of the patients left the hospital and this group subsequently spent 84 per cent of their remaining survival time at home. A criterion is presented for patient selection and suggestions are made for the selection of an operative procedure.
本文对62例因恶性输尿管梗阻而行姑息性尿路改道的病例进行了分析。术后平均生存期为187天。细胞类型、已知疾病持续时间、肿瘤分级和分期、肾功能及既往治疗对生存期影响不大。64%的氮质血症患者肾功能恢复正常。发病率和死亡率较高，主要是由于基础疾病和辅助治疗。近三分之二的患者出院，该组患者随后在家中度过了剩余生存期的84%。本文提出了患者选择标准，并对手术方式的选择提出了建议。
