【摘要】 目的 评价经皮肾造瘘(percutaneous nephrostomy,PCN)及顺行性输尿管双J管植入术(antegrade internal ureteral stenting,AIUS)在慢性输尿管梗阻性疾病中的应用价值。方法 64例慢性输尿管梗阻患者,男34例,女30例。结石性梗阻18例,外科成形术后再狭窄6例,恶性梗阻23例,腹膜后纤维化9例,炎性狭窄8例。所有病例均行PCN或AIUS。结果 技术成功率100%,共植入单J管45条,双J管42条;术后临床症状明显缓解,无严重并发症发生;患者肾功能1周内显著恢复,肾盂分离、肾功能、肾小球滤过率1月内可恢复至稳定水平。结论 介入技术在解决慢性输尿管梗阻性疾病中具有重要作用。更多还原

【Abstract】 Objective To evaluate the value of percutaneous nephrostomy(PCN) and antegrade internal ureteral stenting(AIUS),in treatment of chronic ureteral obstruction.Methods 64 cases(34 men and 30 women) with chronic ureteral obstruction.Lithic obstruction in 18,second stenosis after ureteroplasty in 6,malignancy in 23,obstruction caused by retroperitoneal fibrosis in 9 cases and inflammatory stenosis in 8 cases.Results The successful rate of processes was 100%,45 single pigtail tubes and 42 double J tubes were implanted respectively.Clinical symptoms were significantly relieved,and no severe complications occurred after operations.The renal function recovered significantly one week later.The renal pelvis separation,renal function and glomerular filtrating rate returned to normalization one month later.Conclusion Interventional techniques is of significant value in treating the chronic ureteral obstruction.更多还原