武警医学2025，Vol.36Issue(11)：934-936,943,4.
超声引导下两种更换肾造瘘管方法的效果比较
Comparison of the effects of two ultrasound-guided methods for nephrostomy tube exchange
秦思 1梁希 1姬永姣 1许艳娜 1吕艳婷 1秦勤 2蒋文莉1
作者信息
- 1. 100853 北京,解放军总医院第一医学中心超声诊断科
- 2. 100853 北京,解放军总医院第一医学中心输血医学科
- 折叠
摘要
Abstract
Objective To compare the application effects of antegrade catheterization through sinus tract and antegrade guide-wire through catheter in nephrostomy tube exchange.Methods The clinical data of patients who underwent nephrostomy tube exchange in the First Medical Center of PLA General Hospital from January 2014 to March 2025 were retrospectively analyzed.The clinical effects of ultrasound-guided antegrade catheterization through sinus tract and antegrade guidewire through catheter in nephrostomy tube exchange were compared.Results A total of 529 cases of nephrostomy tube exchange treatment were performed on 204 patients.A-mong them,319 cases were conducted via antegrade catheterization through sinus tract,with 2 cases of mild bleeding,3 cases of chills and fever,and 6 cases of exchange failure,achieving a success rate of 98.12%;a total of 210 exchanges were performed via antegrade guidewire through catheter,with 2 cases of postoperative bleeding,1 case of chills and fever,and 21 cases of exchange failure,achie-ving a success rate of 90.00%.Conclusions Compared with antegrade guidewire through catheter,antegrade catheterization through sinus tract is characterized by shorter operation time,less pain and higher success rate.When the sinus tract has already been formed,it can be used as the preferred method for clinical nephrostomy tube exchange.关键词
经皮肾穿刺造瘘术/造瘘管/同轴导丝法/超声引导Key words
percutaneous nephrostomy/fistulization tube/coaxial downstream guidewire method/ultrasound guidance分类
医药卫生引用本文复制引用
秦思,梁希,姬永姣,许艳娜,吕艳婷,秦勤,蒋文莉..超声引导下两种更换肾造瘘管方法的效果比较[J].武警医学,2025,36(11):934-936,943,4.
