CAJ | 학술논문

目的探讨恶性肿瘤所致急性梗阻性肾功能衰竭的腔内治疗方法。方法对17例因恶性肿瘤导致急性梗阻性肾功能衰竭的患者予以逆行输尿管D-J管置入或经皮肾造瘘术，观察术后疗效和并发症情况。结果17例患者均成功行D-J管置入或经皮肾造瘘术，术后肾功能均有不同程度恢复。其中15例患者肾功能完全恢复正常，2例明显好转。术后未发生严重并发症。结论逆行输尿管D-J管置入和经皮肾造瘘术治疗恶性肿瘤所致急性梗阻性肾功能衰竭，手术安全、操作简单、疗效可靠。
목적탐토악성종류소치급성경조성신공능쇠갈적강내치료방법。방법대17례인악성종류도치급성경조성신공능쇠갈적환자여이역행수뇨관D-J관치입혹경피신조루술，관찰술후료효화병발증정황。결과17례환자균성공행D-J관치입혹경피신조루술，술후신공능균유불동정도회복。기중15례환자신공능완전회복정상，2례명현호전。술후미발생엄중병발증。결론역행수뇨관D-J관치입화경피신조루술치료악성종류소치급성경조성신공능쇠갈，수술안전、조작간단、료효가고。
Objective To explore the method and effect of endourological therapy for acute renal failure caused by bilateral malignant ureteric obstruction. Methods From December 2006 to June 2012,17 cases of acute renal failure caused by bilateral malignant ureteric obstruction were treated by endourological methods.14 cases were treated by retrograde double-J stenting,3 by minimally invasive percutaneous nephrostomy(mPCN). Effect and complications were observed. Results All patients had their urinary volume signiifcantly increased and renal function improved after the procedures. No severe complications were observed. Conclusion Retrograde double-J stenting and minimally invasive percutaneous nephrostomy(mPCN) is safe, feasible and effective for acute renal failure caused by bilateral malignant ureteric obstruction.