超声引导下肾穿刺造瘘术治疗梗阻性肾积水的作用探讨

Exploring the role of ultrasound-guided nephrolithotomy in the treatment of obstructive hydronephrosis

目的:探究超声引导下肾穿刺造瘘术治疗梗阻性肾积水的作用。方法:选取90例行超声引导下肾穿刺造瘘术的梗阻性肾积水患者,观察手术疗效及前后各项指标差异。结果:术后,所有患者CREA、UREA及Cys-C水平均明显低于术前(P<0.05);90例患者均未发生严重出血与腹腔损伤等并发症,有10例患者穿刺后引流尿液为淡血性,1-3天后自动变清,并发症发生概率为11.11%(10/90)。结论:在超声引导下行肾穿刺造瘘术治疗梗阻性肾积水安全、有效,并可显著改善患者肾功能,降低Cys-C水平,值得推广与应用。

Objective To explore the role of ultrasound-guided nephrolithotomy in the treatment of obstructive hydronephrosis Methods Ninety patients with obstructive hydronephrosis who underwent ultrasound-guided renal puncture fistula were selected to observe the surgical efficacy and the differences in various indexes before and after the procedure.Results Postoperatively,the levels of CREA,UREA and Cys-C were significantly lower than preoperative levels in all patients(P<0.05);no complications such as serious bleeding and abdominal injuries occurred in any of the 90 patients,and there were 10 patients with pale bloody urine drained after puncture,which became clear automatically after 1-3 days,with a probability of complication of 11.11%(10/90).Conclusion Ultrasound-guided PCN in treatment of obstructive hydronephrosis is safe and effective,it can improve renal function and decrease Cys-C level,increase survival quality,which is worthy of promotion and application.