| 摘要: |
| 目的 探讨超声引导下经皮肾穿刺造瘘技术在高危患者膀胱造瘘术中的应用价值。方法 对17例需接受膀胱造瘘的高危患者采用超声引导下经皮肾穿刺造瘘技术进行治疗,统计穿刺成功率、手术操作时间,观察疗效和术后并发症发生情况。结果 本组17例患者均一次性穿刺成功,完成操作时间在15 min内,下腹部切口均无需缝合,操作过程中患者疼痛程度轻微;随访3～5 d,导尿管引流通畅,导尿管周围未见尿液外渗,切口未见感染。结论 对需要行膀胱造瘘的高危患者而言,超声引导下经皮肾穿刺造瘘技术能够降低操作风险。 |
| 关键词: 超声检查 经皮肾造瘘术 膀胱造瘘术 |
| DOI：10.3724/SP.J.1008.2012.00810 |
| 投稿时间：2012-02-09修订日期：2012-04-23 |
| 基金项目: |
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| Percutaneous nephrostomy under ultrasound guidance for cystostomy in high-risk patients |
| YE Hua-mao1△, LI Yun1,2△, YANG Qing1, XU Chuan-liang1, SUN Ying-hao1* |
(1. Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China;
2. Department of Urology, Shibei Hospital, Shanghai 200435, China
△Co-first authors.
*Corresponding author.) |
| Abstract: |
| ObjectiveTo assess the value of percutaneous nephrostomy under ultrasound guidance for cystostomy in high-risk patients. MethodsSeventeen high-risk patients underwent the cystostomy using percutaneous nephrostomy under ultrasound guidance. The successful puncture rate, operation time, efficacy and postoperative complications were observed. ResultsThe puncture was successfully with one try in all the 17 cases, and the procedures were completed within 15 min. It is not necessary to suture the incision in the lower abdomen and the patients had slight pain during the procedure. During the 3-5 days follow-up, we did not found urecchysis around the catheter nor incision infection. ConclusionPercutaneous nephrostomy under ultrasound guidance can reduce the risk in high-risk patients receiving cystostomy. |
| Key words: ultrasonography percutaneous nephrostomy cystostomy |
