彩超引导下经皮肾穿刺造瘘引流术的临床价值

Clinical significance of ultrasound-guided percutaneous nephrostomy

目的探讨彩超引导下经皮肾穿刺造瘘引流术(PCN)的临床价值。方法彩超引导下对71例肾积水患者行PCN治疗,其中11例患者行双侧PCN治疗。观察并分析彩超引导下PCN的临床疗效。术前及术后1周检查患者肾功能,观察尿量变化。结果 71例患者共行82次肾穿刺造瘘置管,3例穿刺造瘘失败,一次穿刺成功率为96.34%(79/82)。术后造瘘管均通畅,所有患者肾功能及全身状况均在1周内得到明显改善。全组无1例出现严重并发症或因治疗的相关并发症而死亡。结论实时超声引导下PCN是一项操作简便、安全有效且并发症少的治疗方法,能够明显改善肾功能,具有重要的临床价值。

Objective To investigate the clinical significance and experience of ultrasound-guided percutaneous nephro- storey （PCN）. Methods Ultrasound-guided PCN was performed on 71 patients with hydronephrosis. 11 patients of them underwent bilateral ultrasound-guided PCN. The clinical efficacy of PCN was observed and analyzed. The renal function of the patients was checked and the urine volume was observed 1 week before and 1 week after percutaneous nephrostomy. Results Totally 82 PCN procedures were performed on the 71 patients with the primary successful rate of 96.34% （79/82）. The renal function of all the patients was improved greatly in 1 week. No one had severe compli- cations or died due to operation complications. Conclusion Ultrasound-guided PCN is claimed to be a safe, simple, effective procedure with almost no serious complications. This technique has important clinical significance because it can improve renal function definitely.