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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.22Issue(6):410-411,414,3.
中国临床医学影像杂志2011,Vol.22Issue(6):410-411,414,3.

超声与透视相结合行经皮肾穿刺造瘘术的临床价值

Clinical value of ultrasound-guided and fluoroscopy in percutaneous nephrostomy

温锋 1华树成 2卢再鸣 1张军 1郭启勇1

作者信息

  • 1. 中国医科大学附属盛京医院放射科,辽宁,沈阳,110004
  • 2. 吉林大学第一医院放射科,吉林,长春,130012
  • 折叠

摘要

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.

关键词

肾疾病/肾盂积水/肾造口术,经皮/X线透视检查/超声检查

Key words

Kidney diseases/ Hydronephrosis/ Nephrostomy, percutaneous/ Fluoroscopy/ Ultrasonography

分类

医药卫生

引用本文复制引用

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):410-411,414,3.

中国临床医学影像杂志

OACSTPCD

1008-1062

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