超声与透视相结合行经皮肾穿刺造瘘术的临床价值

温锋; 华树成; 卢再鸣; 张军; 郭启勇

中国临床医学影像杂志 ›› 2011, Vol. 22 ›› Issue (6) : 410-411.

论著

超声与透视相结合行经皮肾穿刺造瘘术的临床价值

温锋1，华树成2，卢再鸣1，张军1，郭启勇1

作者信息 +

Clinical value of ultrasound-guided and fluoroscopy in percutaneous nephrostomy

WEN Feng1, HUA Shu-cheng2, LU Zai-ming1, ZHANG Jun1, GUO Qi-yong1

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文章历史 +

摘要

目的：评价超声与透视相结合在经皮肾穿刺造瘘术中的应用价值。方法：对53例不同原因所致的肾盂积水或积脓患者，采用在超声与透视相结合引导下经皮肾穿刺造瘘术。结果：本组53例患者共穿刺58个肾脏，其中右肾33例，左肾25例，其中同时行双侧穿刺3例。其中一次穿刺成功率为96.6%（56/58），2例失败而行对侧肾盂穿刺。共留置造瘘引流管56枚，造瘘引流管留置成功率100%（56/56）。术后患者肾脏功能改善明显，全部病例均无严重并发症发生。结论：超声与透视相结合行经皮肾穿刺造瘘快速、安全、微创、有效且并发症少，值得推广应用。

Abstract

Objective: To evaluate the clinical value of ultrasound-guided and fluoroscopy in percutaneous nephrostomy(PNT). Methods: By ultrasound-guided and fluoroscopy percutaneous placement of nephrostomy catheters were performed in 53 patients with hydronephrosis or pyonephrosis by using Seldinger technique. Results: Fifty-eight kidneys in 53 patients were punctured by percutaneous way, including 30 right kidneys, 22 left kidneys and 3 bilateral kidneys. Fifty-six kidneys(96.6%, 56/58) were successfully puncture at first attempt. The punctures in contralateral kidneys were performed in 2 patients because of the failure of first attempt. Fifty-six nephrostomy catheters(100%, 56/56) were successfully implanted by fluoroscopy-guidance. The improvement of renal function was obvious after operation, and no severe complications occurred. Conclusion: PNT by ultrasound-guided and fluoroscopy is a fast, safe, microinvasive and effective procedure for patients with obstructive uropathy, and this method is worth generalizing and applying.

导出引用

温锋;华树成;卢再鸣;张军;郭启勇. 超声与透视相结合行经皮肾穿刺造瘘术的临床价值[J]. 中国临床医学影像杂志. 2011, 22(6): 410-411

WEN Feng;HUA Shu-cheng;LU Zai-ming;ZHANG Jun;GUO Qi-yong. Clinical value of ultrasound-guided and fluoroscopy in percutaneous nephrostomy[J]. Journal of China Clinic Medical Imaging. 2011, 22(6): 410-411

中图分类号： Ｒ692 Ｒ814.43 Ｒ445.1