Audry G, Boyer C, Grapin C, Montagne J P, Boccon-Gibod L, Bruezière J, Gruner M
Department of Pediatric Surgery, Hôpital d'Enfants Armand-Trousseau, Paris, France.
Eur J Pediatr Surg. 1996 Oct;6(5):274-6. doi: 10.1055/s-2008-1066526.
A percutaneous nephrostomy (PCN) was inserted as part of the management in 17 newborns and infants with severe pelviureteric junction obstruction between 1981 and 1993. Nephrectomy was performed in eight cases and pyeloplasty in nine cases, successfully in six cases (mean follow-up: 7.7 years). PCN was useful for predicting that no non-functioning kidney on intravenous pyelography (IVP) in this series should have been preserved. Among the kidneys with a high excretion delay on IVP, PCN showed that only those that had a split creatinine clearance of more than 1 ml/min/1.73 m2, or theoretical clearance for age and weight of over 6%, should be preserved.
1981年至1993年间，对17例患有严重肾盂输尿管连接部梗阻的新生儿和婴儿进行了经皮肾造瘘术（PCN），作为治疗的一部分。8例行肾切除术，9例行肾盂成形术，6例成功（平均随访7.7年）。PCN有助于预测本系列中静脉肾盂造影（IVP）显示无功能的肾脏不应保留。在IVP排泄延迟较长的肾脏中，PCN显示只有肌酐清除率超过1 ml/min/1.73 m²，或年龄和体重的理论清除率超过6%的肾脏才应保留。
