Hirao Y, Morita N, Yoshikawa M, Samma S, Maruyama Y, Aoyama H, Babaya K, Okajima E, Ohara S, Suemori T
Hinyokika Kiyo. 1985 Jul;31(7):1281-6.
Sixty three cases (male 32, female 31) of supravesical obstruction were treated with ultrasonically guided subcutaneous nephrostomy at our hospitals from October 1980 to October 1984. Their age ranges from 2 months to 84 years old, and median age was 52 years old. The major causes of ureteral obstruction were extended pelvic malignancies, 45 cases (71%) (gynecological 18, urological 16, gastrocolorectal 7 and others 4), and benign disease 18 cases (29%). Objectives of nephrostomy were classified in 4 categories (drainage, manipulation, irrigation and evaluation), and results of nephrostomy were discussed for each category. No major complications were observed. Only prolonged macrohematuria (over 48 hours) and fever (over 38 degrees C) were observed in 5 cases respectively. Success rate of nephrostomy placement was 97.5% of all cases. With ultrasonography and angiographic technique, percutaneous nephrostomy is an easy, safe and reliable method.
1980年10月至1984年10月期间，我院对63例膀胱上梗阻患者（男性32例，女性31例）实施了超声引导下经皮肾造瘘术。患者年龄从2个月至84岁不等，中位年龄为52岁。输尿管梗阻的主要原因是盆腔恶性肿瘤晚期，共45例（71%）（妇科肿瘤18例，泌尿外科肿瘤16例，结直肠癌7例，其他4例），良性疾病18例（29%）。肾造瘘的目的分为四类（引流、操作、冲洗和评估），并针对每一类讨论了肾造瘘的结果。未观察到严重并发症。仅分别有5例出现了持续时间较长的肉眼血尿（超过48小时）和发热（超过38摄氏度）。肾造瘘置管成功率为所有病例的97.5%。借助超声检查和血管造影技术，经皮肾造瘘术是一种简便、安全且可靠的方法。
