Delavierre D, Fournier G, Mangin P
Unité d'Urologie, CHU Morvan, Brest.
J Urol (Paris). 1989;95(6):319-29.
The carrying out of an ultrasound percutaneous nephrostomy requires the combined use of several technics: local anesthesia; ultrasound transducer-fixed puncture probe insertion; angiographic method; route dilatation. A study of a series of 80 DUPN operations carried out in patients with febrile upper urinary tract obstruction and/or acute failure, showed that this operation is simple and rapid (lasting 24 minutes on average). Failures occurred rarely (6.2%) and were most often related to insufficient dilatation of the renal cavities. Complications were limited: 1 case of hemorrhage, 1 case of urinoma, 4 cases of infection, no case of perforation of a neighboring organ. Incidents were more frequent and those were probe-related (9 dislodgments were required). Furthermore, the DUPN opens the way to many new diagnostic opportunities.
局部麻醉；超声探头固定穿刺针插入；血管造影法；通道扩张。对80例患有发热性上尿路梗阻和/或急性肾衰竭患者进行的一系列经皮肾穿刺造瘘术研究表明，该手术简单快捷（平均持续24分钟）。失败情况很少发生（6.2%），且大多与肾盂扩张不足有关。并发症有限：1例出血，1例尿瘤，4例感染，无邻近器官穿孔病例。意外情况更频繁，且与穿刺针有关（需要重新插入9次）。此外，经皮肾穿刺造瘘术为许多新的诊断机会开辟了道路。
