骨盤腔内腫瘍患者に対する腎瘻および尿管瘻術 : 術前臨床検査値からみた適応の限界

概要

論文の詳細を見る
Nephrostomy or ureterostomy has been widely accepted as a fairly effective method of urine diversion. Many uremic patients with carcinomas originating from intrapelvic organs such as the urogenital tract or the colon showed a favorable response to this procedure, although some died postoperatively. Correlation between the preoperative clinical examinations and their postoperative courses in our 96 cases was analysed in detail. Nephrostomy or ureterostomy brought a successful result even in patients under poor conditions. However, the procedure should not be recommended in cases with BUN elevated over 150 mg/dl, serum potassium over 8.0 mEq/1, RBC over 5x10^6 or under 2x10^4 and WBC over 3x10^4 or under 2x10^3. For such cases, other procedures such as artificial dialysis must be tried first of all.
社団法人日本泌尿器科学会の論文