| 李晓光,金征宇,杨宁,刘巍,潘杰,张晓波,石海峰.CT引导下经皮肾造口术的临床应用和技术探讨[J].中国医学影像技术,2008,24(11):1821~1824 |
| CT引导下经皮肾造口术的临床应用和技术探讨 |
| Clinical applications and technical considerations of CT-guided percutaneous nephrostomy |
| 投稿时间：2008-05-13 修订日期：2008-08-24 |
| DOI： |
| 中文关键词: 肾造口术,经皮 体层摄影术,X线计算机 |
| 英文关键词:Nephrostomy, percutaneous Tomography, X-ray computed |
| 基金项目: |
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| 中文摘要: |
| 目的 评价CT引导下经皮肾造口瘘术(PCN)的安全性和有效性,探讨相关技术要点和注意事项。方法 回顾性分析341例患者428例次CT引导下PCN的临床和手术资料,包括肾积水原因、穿刺次数、操作时间、成功率、并发症和临床效果。结果 428例次CT引导下PCN操作,单纯CT引导下完成420例次,占98.13%,结合X线透视下完成8例,占1.87%,总体成功率100%。肾盏穿刺次数:1次262例次,2次107例次,3次54例次,4次5例次,平均1.54次。操作时间15~43 min,平均27.43 min。所有患者PCN术后临床均显著好转。15例(4.40%)发生轻微并发症,包括肾周血肿3例、发热7例、导管早期脱出5例,无严重并发症发生。结论 CT引导下经皮肾造瘘术安全有效,注意技术要点、仔细操作能够减少并发症。 |
| 英文摘要: |
| Objective To evaluate the safety and efficacy of CT-guided percutaneous nephrostomy (PCN), and to discuss technical key points and considerations of PCN procedures. Methods Clinical data and procedure details of 428 times CT-guided PCN for 341 patients were retrospectively analyzed, including causes of hydronephrosis, times of puncture, duration of procedure, success rate, complications and clinical efficacy as well. Results The total success rate of PCN was 100%. A total of 420 (98.13%) PCN procedures were performed under single CT guidance, the rest 8 (1.87%) were finished with the help of X-ray fluoroscopy. The mean puncture time of calyx was 1.54, and the mean duration of 27.43 min (15-43 min). All patients improved significantly after PCN. Minor complications occurred in 15 (4.40%) cases, including perinephrotic hematoma in 3 cases, fever in 7 and catheter premature dislodgement in 5 cases. No major complications occurred. Conclusion CT-guided PCN is both safe and effective. Careful and skillful manipulation is helpful to decrease complications. |
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