In the clinic of urology of the Oncological Institute from Moldova, ecoguided percutaneous nephrostomy was performed in 125 patients with advanced tumors of pelvic cavity organs, that caused obstruction of the ureters with manifestations of renal failure. After liquidation of the renal failure, with reduction or normalization of uremic indices, in 70 cases we managed to perform specific surgical treatment or combined chemo – radiotherapy. In 69 cases the results of treatment were satisfactory, with a mean survival average of 13.3 months, 31 patients survived from 2 to 4 years, and in 7 cases there were a 5-year survival. So, retrospectively speaking, it can be stated that these patients have undergone radical treatment. There were no deaths recorded.
In case of 55 patients who were symptomatically treated, a increase of quality of life was confirmed by a special survey conducted by doctoral candidate Boris Duda.
În clinica urologică a IO din Republica Moldova au fost efectuate nefrostomii ecoghidate la 125 de bolnavi cu tumori local avansate ale bazinului, ce au provocat insuficienţă renală cronică (IRC). După lichidarea IRC, cu diminuarea sau normalizarea indicilor uremici, în 70 de cazuri s-a reuşit efectuarea tratamentului specific chirurgical sau combinat chimio – radioterapic. În 69 de cazuri rezultatele tratamentului au fost satisfăcătoare, cu media de supravieţuire – 13,3 luni; 31 de bolnavi au supravieţuit de la 2 până la 4 ani, iar în 7 cazuri s-a înregistrat o supravieţuire la 5 ani. Deci, retrospectiv, se poate de afirmat că aceşti bolnavi au suportat un tratament radical. Nu s-a înregistrat niciun deces.
În cazul celor 55 de bolnavi trataţi simptomatic, o importanţă majoră a avut ameliorarea calităţii vieţii, confirmată printr-un studiu special efectuat de către doctorandul Boris Duda.
