输尿管导管在复杂盆腔肿瘤手术中预防输尿管损伤的应用

doi:10.11904/j.issn.1002-3070.2015.06.004

实用肿瘤学杂志 ›› 2015, Vol. 29 ›› Issue (6): 497-500.doi: 10.11904/j.issn.1002-3070.2015.06.004

输尿管导管在复杂盆腔肿瘤手术中预防输尿管损伤的应用

崔岩¹, 戴洪双¹, 向大林¹, 陈辉¹, 王迪²

1.哈尔滨医科大学附属肿瘤医院泌尿外科(哈尔滨 150081);
2.哈尔滨医科大学附属肿瘤医院核医学科

收稿日期:2015-03-15 出版日期:2015-12-28 发布日期:2015-12-28
通讯作者: 王迪,E-mail:drwang1981@163.com E-mail:drwang1981@163.com
作者简介:崔岩,男,(1981-),博士,主治医师,从事泌尿及男生殖系统肿瘤的基础与临床研究
基金资助:
黑龙江省卫生厅科研课题(2012-647)

The application of ureteral stents for prevention of ureteral injury in complex pelvic tumor operation

CUI Yan¹, DAI Hongshuang¹, XIANG Dalin¹, CHEN Hui¹, WANG Di²

1.Department of Urology,The Affiliated Tumor Hospital of Harbin Medical University,Harbin 150081,China;
2.Department of Nuclear Medicine,The Affiliated Tumor Hospital of Harbin Medical University

Received:2015-03-15 Online:2015-12-28 Published:2015-12-28

摘要/Abstract

摘要： 目的探讨在复杂盆腔肿瘤手术前留置输尿管导管预防输尿管损伤的临床应用和不良反应。方法回顾性分析直肠癌、宫颈癌、卵巢癌、盆腔肉瘤等盆腔复杂肿瘤手术患者145例,其中92例患者术前未放置导管(对照组),53例患者术前在膀胱镜下留置单侧或双侧输尿管导管(置管组),术后根据术中情况拔出或留置。结果 145例患者中10例术中发生输尿管损伤,其中置管组2例,对照组8例;术后输尿管瘘3例均发生在对照组;留置输尿管导管可引起血尿、下尿路刺激症状、腰痛等不良反应,且置管组的不良反应明显高于对照组(P＜0.05)。结论复杂盆腔肿瘤术前经膀胱镜留置输尿管导管有助于术中分离和保护输尿管,对于预防输尿管损伤有临床意义,但有一定的不良反应,因此应明确适应症,谨慎应用。

关键词: 盆腔肿瘤, 输尿管损伤, 输尿管导管, 不良反应

Abstract: Objective To investigate the clinical value and adverse reactions of indwelling ureteral stents in the prevention of ureteral injury before complex pelvic tumor surgery.Methods 145 cases of patients with rectal cancer,cervical cancer,ovarian cancer and pelvic sarcomas were retrospectively analyzed,and 53 patients with complex pelvic tumor surgery,preoperative were under cystoscope unilateral or bilateral ureteral stent tube,pulled out according to the intraoperative situation after surgery or lien,92 patients as control group.Results Ureteral injury was found in 10 of the 145 patients,2 cases in ureteral catheter group and 8 cases in control group.3 cases of postoperative ureteral fistula occurred in the control group.Indwelling ureteral stents could cause adverse reactions such as hematuria,osphyalgia and urinary irritation,and the adverse reactions of catheter group was obviously higher than that of control group(P＜0.05).Conclusion Cystoscopic ureteral stent placement has important clinical significance for prevention of ureteral injury despite certain adverse reactions,which can be used in operation of complex pelvic tumor.

Key words: Pelvic tumor, Ureteral injury, Ureteral catheter, Adverse reaction

中图分类号:

R730.56

崔岩, 戴洪双, 向大林, 陈辉, 王迪. 输尿管导管在复杂盆腔肿瘤手术中预防输尿管损伤的应用[J]. 实用肿瘤学杂志, 2015, 29(6): 497-500.

CUI Yan, DAI Hongshuang, XIANG Dalin, CHEN Hui, WANG Di. The application of ureteral stents for prevention of ureteral injury in complex pelvic tumor operation[J]. PRACTICAL ONCOLOGY JOURNAL, 2015, 29(6): 497-500.

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输尿管导管在复杂盆腔肿瘤手术中预防输尿管损伤的应用

The application of ureteral stents for prevention of ureteral injury in complex pelvic tumor operation

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