摘要
【目的】观察经皮肾穿刺造瘘的可靠性及安全性，对比一步法及二步法肾盂造瘘的优劣。【方法】对47例恶性肿瘤导致梗阻性肾功能不全的患者，在超声引导下进行经皮肾穿刺造瘘，观察肾功恢复情况及并发症。【结果】45例首次置管造瘘成功，2例首次行二步法置管失败，再以一步法置管成功，2例引流过程中造瘘管脱落。所有病例术后肾功能均得到改善，未出现肾周血肿、大量血尿、感染等并发症。【结论】超声引导经皮肾穿刺造瘘术是解决恶性肿瘤导致的肾后性肾功能不全安全有效的方法，一步法较二步法更简便，成功率更高。
[Objective] To investigate the reliability and safety of ultrasound-guided pereutaneous nephrostomy m patients with postrenal kidney insufficiency. [Methods]Forty seven patients with postrenal kidney insufficiency induced by malignant tumor underwent percutaneous nephrostomy guided by ultrasonography. [Results] Percutaneous nephrostomy was successful in 45 patients at first attempt. The improvement of renal function was marked, and no severe complications occurred. [Conelusion]Uttrasound-guided percutaneous nephrostomy is a safe and effective procedure for patients with obstructive uropathy.
出处
《医学临床研究》
CAS
2009年第3期471-472,共2页
Journal of Clinical Research
