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目的探讨恶性肿瘤相关的上尿路梗阻的治疗。方法回顾分析56例恶性肿瘤相关的上尿路梗阻的临床资料。结果 45例次采用膀胱镜和输尿管镜下D-J管引流,成功率80.0%(36/45);15例次采用B超或DSA引导下经皮肾造瘘,成功率93.3%(14/15);5例次采用血液透析治疗。结论对恶性肿瘤相关的上尿路梗阻宜早期引流,根据病情选择合适的引流方法。
Objective To investigate the treatment of malignant tumor associated with upper urinary tract obstruction. Methods The clinical data of 56 cases of upper urinary tract obstruction associated with malignant tumor were retrospectively analyzed. Results 45 cases were treated by cystoscopy and ureteroscopy under DJ-tube drainage, the success rate was 80.0% (36/45). The success rate of percutaneous nephrostomy was 93.3% (14/15) ; 5 cases were treated with hemodialysis. Conclusion Malignant tumors associated with upper urinary tract obstruction should be early drainage, according to the disease to choose the appropriate drainage method.