Billebaud T, Cornud F, Delmas V, Helenon O, Meuriot N, Moulonguet A
Service d'Urologie, Hôpital Bichat, Paris.
Ann Urol (Paris). 1988;22(4):287-90.
Percutaneous nephrostomy (PCN) was used to treat 16 ureteral fistulas, two ileal fistulas following ileo-cystoplasty, and one pelvic fistula. Discharge resolved in all cases. PCN alone achieved complete recovery of the ileal and pelvic fistulas. Insertion of a wire-guide through the fistula into the bladder and stenting of the ureter for 5 to 20 days with a 8 to 10 F multi-side-hole catheter was possible in 12 of the ureteral fistulas and ensured complete recovery in every case. Because of complete stenosis, this procedure failed in the four other cases of ureteral fistula, and surgery was therefore required. Transrenal percutaneous treatment of urinary fistulas is a simple, effective procedure requiring only local anesthesia, and can be recommended in recently operated patients, and when retrograde catheterization is inadvisable (ileo-cystoplasty).
经皮肾造瘘术（PCN）用于治疗16例输尿管瘘、2例回肠膀胱成形术后的回肠瘘和1例盆腔瘘。所有病例均出院。单纯PCN使回肠瘘和盆腔瘘完全恢复。在12例输尿管瘘中，可通过瘘管将导丝插入膀胱，并使用8至10F多侧孔导管对输尿管进行5至20天的支架置入，且每例均确保完全恢复。由于完全狭窄，该方法在其他4例输尿管瘘中失败，因此需要进行手术。经皮肾治疗尿瘘是一种简单、有效的方法，仅需局部麻醉，适用于近期手术患者以及逆行插管不可行的情况（回肠膀胱成形术）。
