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目的 评价经皮肾穿刺造瘘术在治疗急性梗阻性脓肾中的价值。方法 对 37例急性梗阻性脓肾行B超定位引导经皮肾穿刺造瘘治疗 ,根据引流情况判断病肾功能 ,决定Ⅱ期处理措施。结果 本组穿刺造瘘术后未见并发症 ,其中 2 1例 (5 6 8% )引流后患肾功能恢复良好 ,Ⅱ期手术解除梗阻病因 ,患肾得以保存 ;另 16例 (43 2 % )患肾功能未能恢复 ,Ⅱ期行患肾切除术。结论 经皮肾穿刺造瘘治疗急性梗阻性脓肾安全可靠、简单易行、创伤小、并发症少 ,对急性梗阻性脓肾的早期诊断和治疗均有重要价值。
Objective To evaluate the value of percutaneous nephrostomy in the treatment of acute obstructive pus. Methods Thirty-seven cases of acute obstructive pus were treated with B-percutaneous nephrolithotomy guided by percutaneous nephrolithotomy. According to the situation of drainage, the pathological and renal functions were determined and the treatment of stage Ⅱ was decided. Results There were no complications after puncture and ostomy in this group. Among them, 21 cases (56.8%) had good recovery of renal function after drainage, and the cause of obstruction was relieved in stage Ⅱ and the kidney was preserved. Another 16 cases (43.2% Failure to recover from renal failure, stage II nephrectomy. Conclusion Percutaneous nephroureterectomy for the treatment of acute obstructive pus is safe and reliable, simple and easy to operate with less trauma and less complications. It is of great value in the early diagnosis and treatment of acute obstructive pus.