Besseghir N, Capasso P, Schnyder P, Jichlinski P, Gudinchet F
Services de Radiodiagnostic, Centre Hospitalier et Universitaire CHUV, Lausanne.
Praxis (Bern 1994). 2000 Nov 16;89(46):1891-7.
Percutaneous nephrostomy (NP) is a routinely applied procedure in adults, but sparsely reported in the pediatric population. We report the treatment of acute obstructive renal diseases in 15 children aged one day to 6 years. The causes of obstruction included pelvi-ureteral junction stenosis (10 cases) by calculus or complicated by pyonephrosis, vesico-ureteral junction stenosis (2 cases), urethral valves and stenosis (2 cases) and one complex urogenital malformation. Catheter placement was performed under ultrasonographic guidance without immediate complication. NP should be considered as a primary preoperative modality for urinary tract obstruction in the pediatric population.
经皮肾造瘘术（NP）在成人中是一种常规应用的手术，但在儿科人群中的报道较少。我们报告了15例年龄从1天至6岁的儿童急性梗阻性肾病的治疗情况。梗阻原因包括肾盂输尿管连接处狭窄（10例），由结石引起或并发肾积脓、膀胱输尿管连接处狭窄（2例）、尿道瓣膜和狭窄（2例）以及1例复杂的泌尿生殖系统畸形。在超声引导下进行导管置入，无即刻并发症。经皮肾造瘘术应被视为儿科人群尿路梗阻的主要术前治疗方式。
