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新生儿重症监护病房中婴儿床旁超声引导经皮囊穿刺造瘘术。

Bedside ultrasound-guided percutaneous cystostomy in an infant in the neonatal intensive care unit.

机构信息

Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Hong Kong.

Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Ultrasonography. 2015 Oct;34(4):324-7. doi: 10.14366/usg.14058. Epub 2015 Jan 31.

DOI:10.14366/usg.14058
PMID:25754366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4603204/
Abstract

We describe a case of an infant born at 39 weeks of gestation who was in the neonatal intensive care unit for postoperative management of congenital heart disease and underwent bedside ultrasound-guided percutaneous cystostomy to treat an iatrogenic urethral injury. The procedure was uneventful, successful, and no complications were noted. This case demonstrates that this procedure is safe and minimally invasive. Indications, contraindications, techniques, potential complications, and the safety of performing this procedure in a bedside setting are discussed.

摘要

我们描述了一例 39 周龄的婴儿,该婴儿因先天性心脏病术后管理而在新生儿重症监护病房接受治疗,并接受了床边超声引导下经皮膀胱造口术以治疗医源性尿道损伤。该过程顺利,成功,并且没有注意到任何并发症。该病例表明该程序是安全且微创的。讨论了该程序的适应证、禁忌证、技术、潜在并发症以及在床边环境中进行该程序的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96a5/4603204/a2ecccab8043/usg-14058-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96a5/4603204/a2ecccab8043/usg-14058-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96a5/4603204/a2ecccab8043/usg-14058-f1.jpg

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本文引用的文献

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[Anuric acute renal failure after suprapubic catheterization].耻骨上膀胱造瘘术后无尿性急性肾衰竭
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Suprapubic bladder aspiration in neonates.新生儿耻骨上膀胱穿刺术。
Can Fam Physician. 1987 Sep;33:2099-100.
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Imaging-guided suprapubic bladder tube insertion: experience in the care of 549 patients.影像引导下耻骨上膀胱管插入术:549 例患者护理经验。
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Use of cutaneous flap for continent cystostomy (daoud technique).使用皮瓣行可控性膀胱造口术(道乌德技术)。
J Urol. 2010 Sep;184(3):1116-21. doi: 10.1016/j.juro.2010.05.019. Epub 2010 Jul 21.
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[Left flank tumor of fluctuating size in a 5-week-old boy: perirenal urinoma caused by urethral valves].[一名5周大男童左侧腰部大小波动的肿瘤:尿道瓣膜引起的肾周尿瘤]
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Posterior urethral valves: the scenario in a developing center.后尿道瓣膜:一个发展中的医疗中心的情况
Pediatr Surg Int. 2001;17(1):2-7. doi: 10.1007/s003830000495.
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Percutaneous suprapubic cystolithotripsy for vesical calculi in children.儿童膀胱结石的经皮耻骨上膀胱碎石术
J Endourol. 1999 Apr;13(3):173-5. doi: 10.1089/end.1999.13.173.
8
Fluoroscopically guided percutaneous suprapubic cystostomy for long-term bladder drainage: an alternative to surgical cystostomy.透视引导下经皮耻骨上膀胱造瘘术用于长期膀胱引流:手术膀胱造瘘术的替代方法
Radiology. 1993 Sep;188(3):787-9. doi: 10.1148/radiology.188.3.8351348.
9
Type III posterior urethral valves: presentation and management.III型后尿道瓣膜:临床表现与治疗
J Pediatr Surg. 1994 Jan;29(1):81-5. doi: 10.1016/0022-3468(94)90530-4.
10
Cloacal anomalies: role of vesicostomy.泄殖腔畸形:膀胱造瘘术的作用
J Pediatr Surg. 1994 Jan;29(1):74-6. doi: 10.1016/0022-3468(94)90528-2.