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目前,经皮肾造口术仍是对发生尿毒症的癌症病人进行姑息治疗的流行方法。然而一系列复杂的因素,诸如肾造口术引致的泌尿系感染、造口术后导管的护理、以及它对病人社交和心理的影响等,常使病人及其家属不愿接受手术。Ahmadzadeh介绍了一种皮下尿路改道的新方法,本法容易掌握,易被病人接受,并可用于不宜用其它泌尿系手术来减轻肾积水和尿毒症的癌症病人。采用双头猪尾式支架管皮下置人为8例病人(68～83岁)作了尿路改道。全部病例都患有晚期前列腺
At present, percutaneous nephrostomy is still a popular method of palliative treatment of cancer patients with uremia. However, a series of complicated factors, such as urinary tract infections caused by nephrostomy, post-stoma catheterization and its social and psychological impact on patients, often make patients and their families unwilling to undergo surgery. Ahmadzadeh introduced a new method for diverting the subcutaneous urinary tract. This method is easy to grasp and easily accepted by patients and can be used in cancer patients who should not be treated with other urological procedures to relieve hydronephrosis and uremia. Urinary tract diversion was performed in 8 patients (68-83 years) who were subcutaneously implanted with a double-headed pigtail stent. All cases have advanced prostate