| 摘要: |
| ［摘要］ 目的 探讨微创经皮肾穿刺造瘘术在上尿路梗阻性疾病（UUPO）诊断和治疗中的应用价值。方法 回顾分析182例上尿路梗阻患者的临床资料, 全部患者均在B超引导下采用F7深静脉穿刺导管施行经皮肾穿刺造瘘术。结果 182例共232侧肾脏均一次穿刺成功，无严重并发症发生。218侧肾脏术后引流通畅；6例导管脱落重新置管成功。56例尿毒症患者引流后肾功能改善；80%（58/72）重度肾积水患者引流后成功保肾。结论 微创经皮肾穿刺造瘘术操作简单、创伤较小、成功率高，在上尿路梗阻疾病诊断和治疗中具有重要的临床应用价值。 |
| 关键词: 上尿路梗阻 肾造瘘术 |
| DOI： |
| 分类号:R 691.2 |
| 基金项目: |
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| Clinical value of minimally invasive percutaneous nephrostomy |
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LI Xin-zhong, LIANG Jian-bo, YU Hai, et al.
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Department of Urology, the People′s Hospital of Gangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical value of minimally invasive percutaneous nephrostomy(MPCN) in patients with upper urinary tract obstruction(UUTO).Methods The clinical data of 182 cases of UUPO were retrospectively analyzed, F7 nephrostomy catheter were placed under B ultrasound guidance in all these cases.Results MPCN was successively performed in 182 cases (232 kidneys) at the first attempt and no severe complications occurred. 218 kidneys were relieved of obstruction; Catheter replacement was performed in 6 cases due to catheter fall off; renal function improved in 56 cases of uraemia.80%(58/72) of suffered kidneys were preserved in serious hydronephrosis cases. Conclusion Ultrasound-guided MPCN is a simple, safe and effective procedure for patients with UUTO. |
| Key words: Upper urinary tract obstruction Percutaneous nephrostomy |
