摘要
目的探讨妇产科血管性介入治疗恶性肿瘤对泌尿系统损伤的类型、原因及处理。方法广州市第一人民医院1999年6月至2004年12月对89例妇科恶性肿瘤行血管性介入治疗的病例进行回顾性分析,探讨泌尿系统损伤的发生率、损伤类型、原因、治疗措施及结局。结果89例妇科恶性肿瘤介入治疗后发生的泌尿系统损伤共13例,包括膀胱、输尿管和肾脏的损伤,发生率为14.61%。13例中有5例只有1种损伤,其余8例均为2种或3种损伤并存,但肾脏的损伤不是直接的,而是继发于输尿管损伤。13例中子宫颈癌共5例,以输尿管损伤和继发肾脏损害为主者4例,占总发生率的30.77%(4/13),膀胱损伤仅有1例,占总发生率的7.70%(1/13);子宫体恶性肿瘤共8例,以膀胱损伤为主者7例,占总发生率的53.85%(7/13),输尿管损伤和继发肾损害仅有1例,占总发生率的7.70%(1/13)。13例中只有2例造成器官严重或不可逆的损伤,其余11例均在治疗后康复。结论血管性放射介入治疗存在对泌尿系统损伤的危险,采取恰当的措施可以预防损伤的发生。
Objective To explore the injury of the urinary system caused by radiological vascular interventional therapy of gynecological malignant tumor, including its types , reasons, treatments, and precautions. Methods 89 patients were retrospectively studied, who were treated by radiological vascular interventional therapy for gynecological malignant tumor in Guangzhou First Municipal Peoples Hospital from 1999. 6 to 2004. 12,and the rate, classification, etiology, therapy and result of the urinary injury were investigated. Results Urinary injury occurred in 13 cases among 89 who acceptted the interventional therapy for the malignant tumor, the occurrence rate being 14. 61% , and only 5 cases had one injury, 8 cases had 2 or 3 injuries. In cervical cancer the ureter injury was the main injury,which was 30. 77% of the total occurrence rate（4/13 ） ,while bladder injury was only7.70%. The bladder injury was the main injury in uterine body malignant tumor,it being 58.85% of the total occurrence rate（7/13 ）. The ureter injury was only 2. 68%. 2 cases among the 13 were so severe that it＇s even irreversible,while the others recovered after treatment. Conclusion Injury of the urinary system lies in the radiological vascular interventional therapy, which can be prevented by taking precautions.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2005年第10期614-616,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
恶性肿瘤
妇科
血管性
介入
泌尿系统
Malignant tumor Gynecological Vascular, intervention Urinary system
