经皮肾造瘘术：在CT和荧光透视引导下放置。
Percutaneous nephrostomy: placement under CT and fluoroscopy guidance.
作者信息
Barbaric Z L, Hall T, Cochran S T, Heitz D R, Schwartz R A, Krasny R M, Deseran M W
机构信息
Department of Radiological Sciences, University of California School of Medicine, Los Angelas 90095-1721, USA.
出版信息
AJR Am J Roentgenol. 1997 Jul;169(1):151-5. doi: 10.2214/ajr.169.1.9207516.
OBJECTIVE
The purpose of this paper is to present our experience with CT- and fluoroscopy-guided percutaneous nephrostomy tube (PNT) placement and to describe the technique of placement with patients in the supine-oblique position.
MATERIALS AND METHODS
A CT scanner was coupled with a ceiling-mounted C-arm for fluoroscopy at the CT table, PNT was done with CT localization and fluoroscopic control. We attempted 148 placements in 129 patients, with most patients in the supine or the supine-oblique position.
RESULTS
Successful PNT placement was achieved in 144 (97%) of 148 kidneys. In the native kidney group, 101 (81%) of 124 PNTs were placed with the patients in the supine-oblique position. We experienced no major complications, three (2%) minor complications, and two (1%) catheter dislodgments.
CONCLUSION
CT-fluoroscopy control allows routine PNT placement with patients in the supine or the supine-oblique position and is associated with the lowest complication rate to our knowledge.
目的
本文旨在介绍我们在CT和荧光透视引导下经皮肾造瘘管（PNT）置入方面的经验，并描述患者仰卧斜位时的置管技术。
材料与方法
在CT检查台上，将CT扫描仪与天花板安装的C形臂荧光透视仪相结合，通过CT定位和荧光透视控制进行PNT置管。我们对129例患者进行了148次置管尝试，大多数患者采用仰卧位或仰卧斜位。
结果
148个肾脏中有144个（97%）成功置入PNT。在天然肾组中，124例PNT中有101例（81%）是在患者仰卧斜位时置入的。我们未发生重大并发症，有3例（2%）轻微并发症，2例（1%）导管移位。
结论
据我们所知，CT荧光透视控制可使患者在仰卧位或仰卧斜位时常规进行PNT置管，且并发症发生率最低。
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