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[经皮肾造瘘术及其应用。个人经验]

[Percutaneous nephrostomy and its applications. Personal experience].

作者信息

Cornud F, Meuriot N, Sibert A, Davody P, Grenet J C, Delmas V, Benacerraf R, Moulonguet A

出版信息

J Urol (Paris). 1985;91(1):47-52.

PMID:4045206
Abstract

211 percutaneous nephrostomies (PCN) have been performed on 189 patients under combined fluoroscopic and reel time ultra-sound guidance. 4 major complications occurred with consisted in one hemorrhage and 3 septicemias. Indication of the PCN was diagnostic in 35 cases and therapeutic in 176 cases. Decompression of pyelo-caliceal system (89 cases) among with 72 in emergency, drying of an urinary fistula (8 cases), balloon dilatation of benign ureteral stenoses (18 cases) and treatment of 60 renal stones (3 dissolutions and 57 extractions). Results showed the drying of the fistula in all cases, the long term success of the balloon dilatation in 50% cases and 80% success rate of stone extraction.

摘要

在荧光镜和实时超声联合引导下,对189例患者实施了211次经皮肾造瘘术(PCN)。发生了4例主要并发症,包括1例出血和3例败血症。PCN的指征中,35例为诊断性,176例为治疗性。肾盂肾盏系统减压(89例),其中72例为急诊;尿瘘闭合(8例);良性输尿管狭窄球囊扩张(18例);治疗肾结石60例(3例溶解和57例取出)。结果显示,所有病例的尿瘘均闭合,球囊扩张的长期成功率为50%,结石取出成功率为80%。

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