Magasi P, Karsza A
Department of Urology, Postgraduate Medical School, Budapest, Hungary.
Acta Chir Hung. 1987;28(3):195-202.
Based on the literature and of their own experience, authors deal with the possibility of the percutaneous approach of renal diseases. Of the diagnostic and therapeutic interventions, they report their experience regarding percutaneous nephrolithotomic investigative methods employed in the differential diagnosis of renal masses. During a period of one-and-a-half years, percutaneous nephrostomy was performed in 130 cases, of them in 64 for removing stones. In 48 cases of renal tumours revealed to be cystous structures by ultrasonography, puncture controlled by ultrasound was made. Based on the cytological and chemical analyses of the samples obtained by puncture, exploration was made in 6 cases for suspicion of malignancy. The requirements of the application of the percutaneous technique is discussed.
基于文献及自身经验,作者探讨了经皮治疗肾脏疾病的可能性。关于诊断和治疗干预措施,他们报告了在肾脏肿块鉴别诊断中采用经皮肾镜检查方法的经验。在一年半的时间里,共进行了130例经皮肾造瘘术,其中64例用于取石。在48例经超声检查显示为囊性结构的肾肿瘤病例中,进行了超声引导下穿刺。根据穿刺获取样本的细胞学和化学分析结果,对6例疑似恶性肿瘤的病例进行了探查。文中还讨论了经皮技术应用的要求。