Hoshina A, Yamasaki Y, Kato M, Ogawa H, Tada S
Hinyokika Kiyo. 1985 Jul;31(7):1269-73.
Percutaneous antegrade pyelography under ultrasonic real-time guidance was performed in 18 cases of obstructive hydronephrosis, which were poorly visualized the renal collecting system on excretory urography and in which or retrograde pyelography could not be performed successfully. This technique was safe, accurate and easy, and provided significant diagnostic information in these cases. With the patient under local anesthesia an 18 gauge spinal needle was inserted into the renal pelvis. Approximately 10-20 ml fluid were withdrawn from the renal pelvis for cytology and culture. After the injection of contrast medium radiograms were obtained in adequate positions. Delayed films were obtained when indicated. In 8 cases pelvic and/or ureter tumor was diagnosed. In two cases congenital anomalies were diagnosed, one had complete obstruction at the ureteropelvic junction and the other had complete obstruction at the ureterovesical junction. In the other three cases ureter ligation and in 5 cases ureter stenosis were diagnosed. The quality of the aspirated urine was dark-red in 6 cases, positive cytology, in 6 cases, all of which had pelvic and/or ureter tumors. No severe complications were observed.
对18例梗阻性肾积水患者进行了超声实时引导下经皮顺行肾盂造影，这些患者在排泄性尿路造影中肾集合系统显影不佳，且逆行肾盂造影无法成功进行。该技术安全、准确且简便，为这些病例提供了重要的诊断信息。在局部麻醉下，将一根18号脊麻针插入肾盂。从肾盂中抽出约10 - 20毫升液体用于细胞学检查和培养。注入造影剂后，在适当位置获取X线片。必要时拍摄延迟片。8例诊断为盆腔和/或输尿管肿瘤。2例诊断为先天性异常，1例在输尿管肾盂连接处完全梗阻，另1例在输尿管膀胱连接处完全梗阻。另外3例诊断为输尿管结扎，5例诊断为输尿管狭窄。6例吸出的尿液呈暗红色，6例细胞学检查阳性，所有这些病例均有盆腔和/或输尿管肿瘤。未观察到严重并发症。
