经造口行影像和内镜引导下的原发性逆行性尿路引流。
Primary retrograde urinary drainage using image and endoscopy guidance via urostomies.
机构信息
Department of Radiology, Section of Interventional Radiology, Northwestern Memorial Hospital, Chicago, IL, USA.
Department of Urology, Northwestern Memorial Hospital, Chicago, IL, USA.
出版信息
Clin Radiol. 2022 Jul;77(7):553-557. doi: 10.1016/j.crad.2022.03.022. Epub 2022 May 10.
AIM
To report the technical success of image and endoscopy-guided retrograde trans-urostomy urinary drainage as a primary catheter placement method performed by interventional radiology (IR).
MATERIALS AND METHODS
Nine patients (15 attempted drain placements) with ureteric obstruction following radical cystectomy and urostomy creation were included. The patients were referred to IR for urinary drainage. All patients underwent primary image and endoscopy-guided retrograde trans-urostomy urinary drainage.
RESULTS
Primary image and endoscopy-guided retrograde trans-urostomy urinary drainage was successful in 13/15 (86.6%) attempts. The proposed technique had a limited complication rate omitting the percutaneous nephrostomy access step.
CONCLUSION
Primary image and endoscopy guided retrograde trans-urostomy urinary drainage should be considered before percutaneous nephrostomy in all patients with a urostomy.
目的
报告影像和内镜引导下逆行经皮造瘘术作为一种主要的经介入放射学（IR）放置导管的方法在治疗输尿管梗阻中的技术成功率。
材料和方法
共纳入 9 例（15 例尝试置管）根治性膀胱切除术后和尿流改道术造瘘后出现输尿管梗阻的患者。这些患者被转介至 IR 以进行导尿。所有患者均接受了影像和内镜引导下逆行经皮造瘘术。
结果
13/15（86.6%）例尝试中，影像和内镜引导下逆行经皮造瘘术首次尝试即获得成功。与经皮肾造口术相比，该技术避免了经皮肾造口术步骤，并发症发生率有限。
结论
对于所有尿流改道术患者，在考虑经皮肾造口术之前，应考虑采用影像和内镜引导下逆行经皮造瘘术。
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