Stables D P, Ginsberg N J, Johnson M L
AJR Am J Roentgenol. 1978 Jan;130(1):75-82. doi: 10.2214/ajr.130.1.75.
A series of 53 percutaneous nephrostomies and a literature review of 516 such procedures are presented. The selection of patients with supravesical urinary obstruction, urinary fistulas, and renal calculi is discussed, and the concept is advanced that percutaneous nephrostomy is more than a temporizing preoperative procedure. The available techniques are compared; modified instrumentation for balloon catheter insertion, a combination of fluoroscopic with real-time ultrasound guidance, and some additional principles of subsequent management are introduced. Successful results can be expected in over 90% of percutaneous nephrostomies, with major complications limited to 4% and minor complications to 15%. The limitations of percutaneous nephrostomy and the role of surgical nephrostomy are discussed.
本文介绍了53例经皮肾造瘘术，并对516例此类手术进行了文献综述。讨论了上尿路梗阻、尿瘘和肾结石患者的选择，并提出经皮肾造瘘术不仅仅是一种术前临时措施的概念。比较了现有的技术；介绍了用于插入球囊导管的改良器械、荧光透视与实时超声引导相结合的方法以及后续处理的一些其他原则。超过90%的经皮肾造瘘术有望取得成功，主要并发症限于4%，轻微并发症为15%。讨论了经皮肾造瘘术的局限性及外科肾造瘘术的作用。
