超声引导经皮肾盂造瘘治疗恶性肿瘤所致梗阻性肾功能衰竭.DOCVIP

2015-08-16 2016- 2016-2-24,主任加工，贾 超声引导经皮肾盂造瘘治疗恶性肿瘤所致梗阻性肾功能衰竭 黄小平，李开林，丁 苇，卢婉玲，何昌颖，吴向东 （中山大学附属东华医院超声科，广东 东莞 523000） [摘要]目的：探讨超声引导经皮肾盂造瘘治疗恶性肿瘤所致梗阻性肾功能衰竭的临床价值。方法：对2012年6月至2015年5月中山大学附属东华医院29例因恶性肿瘤导致急性梗阻性肾功能衰竭的患者予以超声引导下经皮肾盂造瘘术，观察术后疗效和并发症情况。结果：29例患者均一次性穿刺置管成功，未见明显严重并发症，术后2～7 d肾功能均有不同程度恢复，其中28例患者肾功能明显改善，1 例患者肌酐及尿素氮下降不明显。结论：超声引导经皮肾盂造瘘术安全可靠，操作简单，成功率高，能有效地改善恶性肿瘤所致的肾脏功能衰竭，为延长患者生命或进行下一步治疗提供了保障，具有较高的临床实用价值。 [关键词]超声引导；肾盂造瘘；恶性肿瘤；肾功能衰竭 [中图分类号]R692.5 [文献标志码]A DOI:10.11851/j.issn.1673-1557.2016.02.0 The Stydy of Ultrasound-Guided Percutaneous Pyelostomy for in the Treatment of?Malignant?Obstructive Renal Failure HUANG Xiaoping,LI Kailin,DING Wei,LU Wanling,HE Changying,WU Xiangdong (Department of Ultrasound,Donghua Hospital Affiliated to Sun Yat-sen University,Guangdong Dongguan 523110,China [Abstract]Objective:To investigate the?clinical value of ultrasound-guided percutaneous?pyelostomy for in the treatment of?malignant?obstructive renal failure.Methods:29 cases of?acute obstructive renal failure?caused by malignant?tumor accepted ultrasound-guided percutaneous?pyelostomy,and whose postoperative efficacy and complications were observed.Results:29 patients were?one-time?successfully punctured and?put indwelling cathetered,without serious complications,and the.The renal function?recovered toin some extent?after operation.The?renal function of 28 patients recovered completely,1 cases had no obvious improvement,accompanied by?other factors?to consider. Conclusion:Ultrasound-guided percutaneous pyelostomy is safe,reliable,simple,and with high success rate.It can improve effectively the renal?function failure?caused by malignant?tumor?,and provide?guarantee for?prolong life?or?the next treatment,with and have high?clinical?practical value. KEY WORDS [Keywords]ultrasound-guided;Percutaneous pyelostomy,?;malignant tumor,;renal failure. 临床上盆腔恶性肿瘤发生率较高，一旦侵犯或挤压输尿管，可造成尿路梗阻、肾盂积水，从而导致肾功能损害。有效的尿液引流是治疗各种原因引起的肾后性梗阻所致肾积水的必要措施。通过超声引导经皮肾穿刺造瘘，对肾积水进行引流减压改善肾功能，是一种安全、便捷的治疗手段[1]。本研究使用常规超声引导对2