侧腰腹部途径经皮穿刺肾造瘘置入球囊导尿管在恶性肾积水中的初步应用  

Initial Application of Balloon Catheter Insertion by Ultrasound-guided Percutaneous Nephrostomy for Treating Malignant Hydronephrosis

作　　者：张龙云[1] 高洋[1] 郭明 董亮[1] 崔文超[1] 张欣[1] 纪永利[1] 

机构地区：[1]胜利油田中心医院超声检查科,山东省东营市257000 [2]东营河口区中医院内一科

出　　处：《中国超声医学杂志》2016年第7期626-628,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨侧腰腹部途径经皮穿刺肾造瘘(PCN)的临床价值,并对日后引流管的更换进行了尝试性研究。方法应用单腔猪尾巴导管于超声引导下对恶性肾积水患者80例,共95侧肾经侧腰腹部行PCN治疗,术前及术后检查肾功能,观察尿量变化;待窦道形成后,将单腔猪尾巴导管更换为球囊导尿管。结果所有病例经皮肾穿刺均一次成功,置管失败2例,一次性置管成功率97.89%(93/95)。术后1周肾功能改善77例,总有效率96.25%。术后出现尿外渗1例,出血5例,未出现严重并发症而致死亡的病例。换管置入球囊导尿管成功率95%。结论侧腰腹部途径PCN置入球囊导尿管安全、成功率高,能明显提高舒适度。Objective To investigate the clinical significance of ultrasound-guided percutaneous nephrostomy（PCN）by lateral abdominal approach and try to improve the drainage tube.Methods Ultrasound-guided PCN was performed on 80 patients with hydronephrosis.The clinical efficacy of PCN was observed and analyzed.The renal function of the patients was checked and the urine volume was observed before and 1week after percutaneous nephrostomy.After sinus formation put balloon catheter.Results Totally 95 PCN procedures were performed on the 80 patients with the primary successful rate of 97.89%（93/95）.The renal function of 77 patients was improved in 1week and the total effective rate was 96.25%.One case appeared urinar extravasation and 5cases showed bleeding.No one died due to operation complications.The successratio of balloon catheter insertion was 95%.Conclusions Ultrasound-guided PCN is claimed to be a safe,effective procedure.Balloon catheter can significantly uprate comfort.

关 键 词：肾造瘘 恶性肾积水 侧腰腹部 超声引导 

分 类 号：R445.1[医药卫生—影像医学与核医学] R730.44[医药卫生—诊断学]