恶性尿道阻塞的非解剖性尿路转移:我们的临床经验
Napoleon Moulavasilis1, Konstantinos Douroumis2, Konstantinos Kotrotsios3
1First Department of Urology, National and Kapodistrian University of Athens, Medical School, Goudi, Athens. napomoul@hotmail.com.
概括
外解剖性尿路转移 (EAUD) 为癌症患者的尿道狭窄提供了一个可行的,尽管复杂的解决方案. 虽然有效,但由于显著的并发症率,仔细选择患者至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 手术创新 在外科创新.
背景情况:
- 复杂的尿路收缩和上部泌尿道阻塞带来了重大的临床挑战.
- 传统的治疗方法,如尿路支架和皮肤穿管,往往会导致并发症和降低生活质量.
- 外解剖性尿路转移 (EAUD) 提供了一个替代的管理策略,特别是在息性瘤护理中.
研究的目的:
- 评估外解剖性尿路转移 (EAUD) 的有效性和安全性,用于治疗瘤患者复杂,长期的尿路收缩.
- 评估EAUD对功能和患者生活质量的影响.
- 识别潜在的并发症,并确定需要仔细选择患者的必要性.
主要方法:
- 一组8名患有尿道狭窄的癌症患者在2015年至2019年期间接受了EAUD.
- 所有患者的癌症特异性预后超过一年.
- 这项手术采用标准的外科手术技术,平均随访时间为62.8个月.
主要成果:
- 患者的平均年龄为62.5岁.
- 观察到的早期并发症率为62.5%,包括感染和假肢层.
- 两名患者因复发性感染而需要假肢脱落,分别在38个月和101个月后.
结论:
- 在瘤患者中,外解剖支架安置是一种适度有效和安全的选择,用于复杂的尿路阻塞.
- 通过避免外部装置,EAUD可以提供更好的生活质量,并减少与双J支架相比频繁更换的需求.
- 仔细选择患者是最大限度地发挥EAUD的好处的关键.
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