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非剥皮鞘法置入球囊导尿管在经皮肾造瘘术中的初探

Chinese Journal of Ultrasound in Medicine(2017)

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Abstract
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1 d BUN、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7 d BUN、Cr、GFR分别为(6.02±2.46) mmol/L、(118.56土26.48)μmol/L、(50.4±3.4) ml/min.术前1d与术后7 d BUN、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.
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Key words
Non skinning sheath method,Foley catheter,Percutaneous nephrostomy
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