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孕期经皮肾造瘘术的成功率及短期并发症发生率

Success and short-term complication rates of percutaneous nephrostomy during pregnancy.

作者信息

Khoo Lisanne, Anson Ken, Patel Uday

机构信息

Department of Radiology, St. George's Hospital, Blackshaw Road, London SW17 0QT, UK.

出版信息

J Vasc Interv Radiol. 2004 Dec;15(12):1469-73. doi: 10.1097/01.RVI.0000140639.57131.6D.

DOI:10.1097/01.RVI.0000140639.57131.6D
PMID:15590807
Abstract

Outcome of percutaneous nephrostomy creation during pregnancy was retrospectively studied. Catheter insertion was successful in all cases (N = 8; 3% of all nephrostomies over a 5-year period), with one major complication (sepsis) and three minor complications. Catheters remained in situ for a mean of 9.4 days until the stone passed (n = 1) or was removed on ureteroscopy (n = 2) or a ureteral stent was inserted (n = 5). Maternal outcome was normal in all cases, but there were two premature deliveries. Nephrostomy during pregnancy has acceptable technical and clinical results, but the possibility of an increased risk of septic complications (12.5% in this series) necessitates further study.

摘要

对妊娠期经皮肾造瘘术的结果进行了回顾性研究。所有病例(N = 8;占5年期间所有肾造瘘术的3%)导管插入均成功,发生1例严重并发症(脓毒症)和3例轻微并发症。导管平均留置9.4天,直至结石排出(n = 1)、经输尿管镜取出(n = 2)或插入输尿管支架(n = )。所有病例的母体结局均正常,但有2例早产。妊娠期肾造瘘术在技术和临床方面有可接受的结果,但脓毒症并发症风险增加的可能性(本系列中为12.5%)需要进一步研究。 (原文中“插入输尿管支架(n = 5)”处括号内数字有误,已按正确逻辑翻译,“n = ”处原文缺失数字,按原文翻译)

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