彩超引导下经皮肾穿刺造瘘引流术的临床价值

山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (1): 75-78.

彩超引导下经皮肾穿刺造瘘引流术的临床价值

刘聪聪，肖静，时丹丹，刘妍，李海英，周炜，张开宁，王蒙，李杰

山东大学齐鲁医院超声科，济南 250012

收稿日期:2012-06-05 出版日期:2013-01-10 发布日期:2013-01-10
通讯作者: 李杰（1966- ），男，主任医师，博士生导师，主要从事腹部超声及介入超声学研究。E-mail：jielijl@hotmail.com
作者简介:刘聪聪（1984- ），女，硕士研究生，主要从事腹部超声及介入超声学研究。E-mail：609879874@qq.com

Clinical significance of ultrasoundguided percutaneous nephrostomy

LIU Cong-cong, XIAO Jing, SHI Dan-dan, LIU Yan, LI Hai-ying, ZHOU Wei, ZHANG Kai-ning, WANG Meng, LI Jie

Department of Ultrasound, Qilu Hospital of Shandong University, Jinan 250012, China

Received:2012-06-05 Online:2013-01-10 Published:2013-01-10

摘要/Abstract

摘要：

目的探讨彩超引导下经皮肾穿刺造瘘引流术（PCN）的临床价值。方法彩超引导下对71例肾积水患者行PCN治疗，其中11例患者行双侧PCN治疗。观察并分析彩超引导下PCN的临床疗效。术前及术后1周检查患者肾功能，观察尿量变化。结果 71例患者共行82次肾穿刺造瘘置管，3例穿刺造瘘失败，一次穿刺成功率为96.34% (79/82)。术后造瘘管均通畅，所有患者肾功能及全身状况均在1周内得到明显改善。全组无1例出现严重并发症或因治疗的相关并发症而死亡。结论实时超声引导下PCN是一项操作简便、安全有效且并发症少的治疗方法，能够明显改善肾功能，具有重要的临床价值。

关键词: 肾积水；肾积脓；经皮肾造瘘术；超声引导；治疗

Abstract:

Objective To investigate the clinical significance and experience of ultrasound-guided percutaneous nephrostomy (PCN). Methods Ultrasound-guided PCN was performed on 71 patients with hydronephrosis. 11 patients of them underwent bilateral ultrasound-guided PCN. The clinical efficacy of PCN was observed and analyzed. The renal function of the patients was checked and the urine volume was observed 1 week before and 1 week after percutaneous nephrostomy. Results Totally 82 PCN procedures were performed on the 71 patients with the primary successful rate of 96.34% (79/82). The renal function of all the patients was improved greatly in 1 week. No one had severe complications or died due to operation complications. Conclusion Ultrasound-guided PCN is claimed to be a safe, simple, effective procedure with almost no serious complications. This technique has important clinical significance because it can improve renal function definitely.

Key words: Hydronephrosis; Pyonephrosis; Percutaneous nephrostomy; Ultrasound-guided; Treatment

中图分类号:

R459.4

刘聪聪，肖静，时丹丹，刘妍，李海英，周炜，张开宁，王蒙，李杰. 彩超引导下经皮肾穿刺造瘘引流术的临床价值[J]. 山东大学学报(医学版), 2013, 51(1): 75-78.

LIU Cong-cong, XIAO Jing, SHI Dan-dan, LIU Yan, LI Hai-ying, ZHOU Wei, ZHANG Kai-ning, WANG Meng, LI Jie. Clinical significance of ultrasoundguided percutaneous nephrostomy[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(1): 75-78.

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