【摘要】 目的探讨经皮肾穿刺造瘘(PCN)在结石梗阻性肾积脓中的应用价值。方法 26例结石梗阻性肾积脓患者在超声引导下一期行PCN引流,待患者一般情况好转后进行二期微造瘘通道或标准通道经皮肾镜碎石取石术治疗。结果 26例患者穿刺成功,解除梗阻,其中21例患者患侧肾功能恢复正常,5例患侧肾功能改善。二期微造瘘通道或标准通道经皮肾镜碎石取石术的清石率为84.6%(22/26),无大出血等严重并发症。结论一期PCN引流脓液可提高二期手术碎石的安全性,对结石梗阻性肾积脓治疗有重要意义。更多还原

【Abstract】 Objective To study the clinical value of percutaneous nephrostomy(PCN)in the treatment of obstructive calculous pyonephrosis. Methods 26 cases of obstructive calculous pyonephrosis were treated by PCN under ultrasonic guidance.When their body conditions were improved,all the patients were given percutaneous nephrolithotomy(PCNL) through micro-fistulation channel or standard fistulation channel. Results 26 cases were punctured successfully and had relieved obstruction,among which 21 cases of the invalid renal function recovered to normal and 5 cases improved.The stone clear rate of PCNL was 84.6%(22/26) and no severe complications like massive haemorrhage occurred. Conclusion First stage PCN has great significance in the treatment of calculous pyonephrosis by improving the safety of second stage PCNL.更多还原