非剥皮鞘法置入球囊导尿管在经皮肾造瘘术中的初探

发布时间：2018-05-12 03:06

本文选题：非剥皮鞘法 + 球囊导尿管　；参考：《中国超声医学杂志》2017年10期

【摘要】：目的探讨非剥皮鞘法置入球囊导尿管在经皮肾造瘘术(PCN))中的安全性及有效性。方法利用非剥皮鞘法,在超声引导下对90例102侧肾积水伴肾功能不全患者行PCN治疗,其中12例患者行双肾PCN,比较术前1d和术后7d的肾功能改善情况,观察PCN术后并发症。结果所有90例PCN均一次成功,成功率100%(102/102)。90例术前1dBUN、Cr、GFR分别为(20.58±4.16)mmol/L、(310.58±87.46)μmol/L、(27.1±5.0)ml/min;术后7dBUN、Cr、GFR分别为(6.02±2.46)mmol/L、(118.56±26.48)μmol/L、(50.4±3.4)ml/min。术前1d与术后7dBUN、Cr、GFR有显著统计学差异。术后7d肾功能明显改善者占96.7%(87/90),并发症发生率5.6%(5/90),4周内出现出血伴堵管1例,感染1例,尿外渗1例,结石伴堵管1例,脱管1例,未见严重并发症。结论非剥皮鞘法PCN置入球囊导尿管的方法简便易行,置管成功率高,并发症较少。
[Abstract]:Objective to investigate the safety and efficacy of non-skin sheath implantation of balloon catheter in percutaneous nephrostomy. Methods 90 patients with hydronephrosis associated with renal insufficiency were treated with PCN under the guidance of ultrasound, and 12 of them were treated with PCN. The improvement of renal function 1 day before operation and 7 days after operation were compared, and complications after PCN were observed. Results all 90 cases of PCN were successful at one time, and the successful rate of 100% 10 2 / 10 2 / 90 cases was 20.58 卤4.16 mmol / L ~ (310.58 卤87.46) 渭 mol / L ~ (-1) 渭 mol 路L ~ (-1) 路L ~ (-1) 路min ~ (-1), respectively, and that of 7 days after operation was 6.02 卤2.46 mmol / L ~ (118.56 卤26.48) 渭 mol 路L ~ (-1) 卤3.4 渭 mol 路L ~ (-1) 路min ~ (-1), respectively. There was significant difference in GFR between 1 day before operation and 7 days after operation. At 7 days after operation, the renal function improved significantly in 96.7 / 87 / 90 cases. The incidence of complications was 5. 6%, 1 case with hemorrhage, 1 case with infection, 1 case with urinary exosmosis, 1 case with stone and catheter, 1 case with detuning, and no serious complications were found. Conclusion the method of non-exfoliation sheath PCN implantation balloon catheter is simple and easy, with high success rate and less complications.
【作者单位】：胜利油田中心医院超声检查科;胜利油田中心医院妇产科;
【分类号】：R445.1;R699

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