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肾穿刺术

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Antegrade percutaneous access was obtained by X-ray perspective or B-type ultrasound guidance. A combination pneumatic and ultrasonic lithotrity was used to disintegrate and remove stone under direct vision.

患侧输尿管于膀胱镜下逆行留置5F输尿管导管,推注生理盐水以充盈肾盂。X射线透视或B超引导下穿刺目标肾盏,建立皮肾通道,肾镜下采用气压弹道联合超声碎石术。

Objective: To evaluate how fistulation affect the renal blood flow in hydronephrotic patients by color Doppler. To explore the clinical significance of recovering renal function.

目的:采用彩色多普勒超声评价肾积水穿刺造瘘术对肾血流灌注变化的影响,探讨肾功能可复性的临床价值。

To evaluate the feasibility and availability of minimal invasive percutaneous nephrolithotomy under the guide of ultrasound on multiple renal calculi.

目的 探讨超声引导微创经皮肾穿刺取石术治疗多发性肾结石的方法及效果。

Objective To analyze the complications of percutaneous nephrostomy and antegrade ureteral Double-J cathater insertion.

目的 探讨经皮肾穿刺造瘘及双J管置入术并发症产生原因及防治措施。

Key words] percutaneous nephrostomy;ureteroscope;urinary stones

关键词]经皮肾穿刺造瘘术;输尿管镜;尿路结石

Objective: To evaluate percutaneous puncture and sclerotherapy guide by ultrasound and laparoscopic unroofing in the treatment of simple renal cysts.

目的:探讨超声引导下经皮穿刺硬化和腹腔镜去顶术在单纯性肾囊肿治疗中的价值。

Methods: Data of 22 Patients with upper ureteric calculus that treated by MPCNL were reviewed retrospectively.

目的:探讨微创经皮肾穿刺取石术治疗输尿管上段结石的疗效。

Objective: To investigate the effect of the Minimally Invasive Percutaneous Nephrolithotomy in management of complicated upper ureteric calculi, comparing with Trans-urethral Ureteroscope Lithotripsy.

目的:比较微创经皮肾穿刺碎石术与经尿道输尿管镜下碎石术治疗复杂性输尿管上段结石的疗效。

The complicated ureter stone-streets were cured by trascutaˉneous nephrocentesis and nephrostomy through ureterocystoscope,haemostatic and antibiotic.The12patients hadn't variation of nephrofunction and recurrence of stone for following3-24months.

经皮肾穿刺造瘘术和输尿管镜取石,止血,抗炎等治疗后,排尽石头,随访3个月~2年未见肾功能改变和结石复发。

Methods A total of 36 patients with advanced renal cancer were definitely diagnosed by IVP, US, CT or MRI examination. A 5F Yashiro catheter was introduced into the femoral artery with Seldinger's technique under local anesthesia, abdominal aortagraphy and renal arteriography in both sides of kidneys were performed routinely to display the blood supplying arteries of tumor, thereafter, renal embolization was performed under superselective catherization for chemotherapeutic embolizing. Then the clinical effect was observed, the amount of blood loss and the operation time were recorded. All these results were compared with that of randomly selected 17 patients before surgical operation with advanced renal cancer admitted during the recent 3 years but without embolization.

36例中晚期肾癌患者,均经临床检查、静脉肾盂造影、B超、CT或MRI检查而确诊;采用Seldinger's技术,局部麻醉下经一侧股动脉穿刺插管,引入5F Yashiro导管,常规行腹主动脉及双肾动脉造影,以显示肿瘤的供血动脉,再将导管超选择插管或尽可能接近肿瘤病灶,进行化疗栓塞,观察其临床改善情况,计算术中失血量及手术时间,并与随机抽取我院近3年所做的17例术前未行肿瘤供血动脉栓塞的肾癌患者进行对照。

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