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应用Seldinger技术,在B超引导下,用输尿管导管对29例病人作经皮穿刺肾造瘘术34次。首次操作成功率76.5％(26/34),总成功率91.2％(31/34)。造瘘后,7例肾功能不全患者有5例肾功能得到改善;10例高热患者体温均恢复正常;3例另侧肾脏无功能患者,防止了体外震波碎石术后可能发生的肾功能衰竭;4例患者试行了肾镜取石,1例获得成功。没有1例发生需要外科手术的并发症。超声引导经皮穿刺肾造瘘操作容易,损伤小,是一种有效的方法。
Seldinger technique was used to perform percutaneous nephrostomy in 29 patients with ureteral catheter under B-guided ultrasound. The first operation success rate was 76.5% (26/34), the total success rate was 91.2% (31/34). After fistula, renal function was improved in 5 of 7 patients with renal insufficiency; body temperature of 10 patients with hyperthermia returned to normal; 3 patients with non-functioning kidney of the other side prevented renal failure after extracorporeal shock wave lithotripsy Four patients had a trial of nephrolithotomy and one was successful. No one had any complications requiring surgery. Ultrasound-guided percutaneous nephrostomy easy to operate, less damage, is an effective method.