Mond D J, Lee W J
Department of Radiology, Long Island Jewish Medical Center, Albert Einstein College of Medicine, New Hyde Park, NY 11042.
J Vasc Interv Radiol. 1994 Nov-Dec;5(6):911-4. doi: 10.1016/s1051-0443(94)71636-5.
To evaluate the efficacy of percutaneous suprapubic cystostomies performed by the interventional radiologist for complex urologic cases.
A retrospective analysis was done of the 25 cases referred to the radiology department for suprapubic cystostomies. The patients were referred because of unsuccessful placement or malposition of a suprapubic cystostomy tube. The procedure was performed with the Seldinger technique by using a 21-gauge needle for initial antegrade puncture and subsequent tract dilation and placement of 10-24-F catheters.
In 24 of 25 cases (96%) the suprapubic cystostomy was successfully performed. After suprapubic cystostomy, eight patients (32%) underwent additional ancillary procedures by urologists through the suprapubic tract. The only major complication was perivesical fluid collection in one patient (4%), which was subsequently drained. Seventeen patients (68%) had transient hematuria.
Percutaneous suprapubic cystostomy performed under fluoroscopic control is an effective and safe procedure ideally suited for the interventional radiologist, especially in complex urologic cases.
评估介入放射科医生进行经皮耻骨上膀胱造瘘术治疗复杂泌尿系统病例的疗效。
对25例因耻骨上膀胱造瘘管置入失败或位置不当而转诊至放射科进行耻骨上膀胱造瘘术的病例进行回顾性分析。采用Seldinger技术，先用21号针进行顺行穿刺，随后扩张通道并置入10 - 24F导管。
25例中有24例（96%）成功进行了耻骨上膀胱造瘘术。耻骨上膀胱造瘘术后，8例患者（32%）由泌尿外科医生通过耻骨上通道进行了额外的辅助手术。唯一的主要并发症是1例患者（4%）出现膀胱周围积液，随后进行了引流。17例患者（68%）出现短暂血尿。
在透视控制下进行的经皮耻骨上膀胱造瘘术是一种有效且安全的手术，非常适合介入放射科医生，尤其是在复杂泌尿系统病例中。
