Clinical value of ultrasound-guided and fluoroscopy in percutaneous nephrostomy
WEN Feng1, HUA Shu-cheng2, LU Zai-ming1, ZHANG Jun1, GUO Qi-yong1
1. Department of Radiology, Shengjing Hospital, China Medical University, Shenyang 110004, China; 2. Department of Radiology, the First Bethune Hospital of Jilin University, Changchun 130012, China
Abstract：Objective: To evaluate the clinical value of ultrasound-guided and fluoroscopy in percutaneous nephrostomy(PNT). Methods: By ultrasound-guided and fluoroscopy percutaneous placement of nephrostomy catheters were performed in 53 patients with hydronephrosis or pyonephrosis by using Seldinger technique. Results: Fifty-eight kidneys in 53 patients were punctured by percutaneous way, including 30 right kidneys, 22 left kidneys and 3 bilateral kidneys. Fifty-six kidneys(96.6%, 56/58) were successfully puncture at first attempt. The punctures in contralateral kidneys were performed in 2 patients because of the failure of first attempt. Fifty-six nephrostomy catheters(100%, 56/56) were successfully implanted by fluoroscopy-guidance. The improvement of renal function was obvious after operation, and no severe complications occurred. Conclusion: PNT by ultrasound-guided and fluoroscopy is a fast, safe, microinvasive and effective procedure for patients with obstructive uropathy, and this method is worth generalizing and applying.
2011, Vol. 22 
