La nefrostomía percutánea en el carcinoma cérvico-uterino avanzado con uropatía obstructiva

Q4 Medicine

Revista mexicana de urologia Pub Date : 2016-07-01 DOI:10.1016/j.uromx.2016.04.002

E. Sanchez-Periut , G. Muro-Toledo , J. Losada-Guerra , L. Reyes-Almeida

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引用次数: 1

Abstract

Background

To describe our experience with emergency percutaneous nephrostomy in patients with advanced cervical cancer accompanied by obstructive uropathy.

Material and methods

A descriptive study was conducted that evaluated 12 patients diagnosed with advanced cervical cancer, obstructive uropathy, and kidney function damage.

Results

Two study groups were formed: group A (with previous cancer-specific treatment) and group B (without previous cancer-specific treatment). Eight patients (66.7%) presented with bilateral ureteral obstruction and only 4 (33.3%) with unilateral obstruction. A total of 41.7% had obstructive anuria, with elevated levels of serum creatinine, and 33.3%, in addition to presenting with anuria, had associated symptoms of sepsis and fluid and electrolyte imbalance. A significant decrease was more remarkable when bilateral percutaneous nephrostomy was carried out over a 7-day period. The procedure caused minor complications in 75% of the patients, the most frequent of which was catheter obstruction.

Conclusions

Percutaneous nephrostomy was more effective as a temporary measure for saving kidney function than retrograde catheterization or surgical diversion.

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经皮肾造口术在晚期宫颈癌伴阻塞性尿路病中的应用

背景:描述我们急诊经皮肾造口术治疗晚期宫颈癌伴梗阻性尿路病变的经验。材料与方法对12例诊断为晚期宫颈癌、梗阻性尿路病变和肾功能损害的患者进行描述性研究。结果分为A组(既往接受过肿瘤特异性治疗)和B组(既往未接受过肿瘤特异性治疗)。双侧输尿管梗阻8例(66.7%)，单侧输尿管梗阻4例(33.3%)。共有41.7%的患者患有阻塞性无尿，血清肌酐水平升高，33.3%的患者除了出现无尿外，还伴有败血症和体液和电解质失衡的相关症状。当双侧经皮肾造口术在7天内进行时，显著降低更为显著。75%的患者出现了轻微并发症，其中最常见的是导管阻塞。结论经皮肾造口术比逆行置管或手术转流术更能有效地挽救肾功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.