| 摘要: |
| 目的 分析超声引导下肾造瘘术对肾功能衰竭患者肾功改善的临床意义。方法 72例因肿瘤原因致肾功能衰竭患者经肾造瘘术后，观察治疗前、后血肌酐（Cr）和尿素氮（BUN)变化。 结果 72例均一次穿刺成功，穿刺成功率100%。随访4周，其中一周内肾功能明显改善69例，有效率95.8%，其余3例两周内肾功能明显改善。Cr下降范围120-270umol/L，BUN下降范围3.9-8.1mmol/L。 本组发生轻微并发症5例，发生率为6.9% 。结论 超声引导下肾造瘘能够明显改善肾功能，短期内治疗肾功能衰竭效果满意。 |
| 关键词: 肾功能衰竭 超声定位穿刺 肾造瘘 |
| DOI： |
| 投稿时间：2017-02-23修订日期：2017-04-08 |
| 基金项目: |
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| The Ultrasound-guided Percutaneous Nephrostomy in the Malignant Obstructive Renal Insufficiency for 72 Patients |
| yupeng |
| () |
| Abstract: |
| Objective: To analysis the clinical value of ultrasound-guided percutaneous pyelostomy in the treatment of malignant obstructive renal failure. Methods: 72 cases of obstructive renal failure caused by malignant tumor accepted ultrasound-guided percutaneous pyelostomy. The postoperative efficacy was observed by serum creatinine(Cr) and urea level. Results: 72 patients were one-time successfully punctured. The successful rate of nephrostomy was 100%. The follow-up period was four weeks. days and put indwelling catheter without serious complications. The renal functions recovered to some extent after operation. The renal functions of 69 patients were improved obviously in one week except 3 patients, in whom renal functions were improved in two weeks. The effective rate reached 95.8% in one week. The decrease range of Cr was 120-270umol/L. The decrease range of BUN was 3.9-8.1mmol/L. 5 patients occurred minor complication(6.9%). Conclusion: Ultrasound-guided percutaneous pyelostomy can effectively improve the renal failure caused by malignant tumor in short time. |
| Key words: renal failure Ultrasonic position transpiercing Renal fistulation |
