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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15min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3～5d,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。
Objective To investigate the value of ultrasound-guided percutaneous nephrostomy in the treatment of high-risk patients with bladder ostomy. Methods 17 cases of high risk patients requiring bladder ostomy were treated with percutaneous nephrostomy guided by ultrasound. The success rate of puncture and operation time were observed, and the incidence of postoperative complications were observed. Results The group of 17 patients were successfully punctured at one time. The operation time was within 15 minutes. The incision of the lower abdomen was without suturing. The pain intensity was slight during the operation. The follow-up of 3 to 5 days, the drainage of the catheter was smooth, See urine extravasation, incision no infection. Conclusions For high-risk patients requiring cystostomy, the ultrasound-guided percutaneous nephrostomy technique can reduce the operational risk.