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| 題 名 | Echo-guidance One Stop Procedure for Percutaneous Nephrostomy--Clinical Experience=超音波導引單一穿刺腎臟造瘻--我們的經驗 |
|---|---|
| 作 者 | 莊正鏗; 賴明坤; 朱聖賢; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 24:1 民80.01-02 |
| 頁 次 | 頁545-548 |
| 分類號 | 416.273 |
| 關鍵詞 | 超音波導引; 單一穿刺腎臟造瘻; |
| 語 文 | 英文(English) |
| 中文摘要 | 超音波導引經皮腎臟造瘻對於阻塞性尿路病變所引起的腎水腫或膿瘍可以獲致快速有效的緩解,我們曾使用豬尾引流管,但也遇到高達11.2%的失敗率,探討失敗的因素大多發生在擴張管徑以及放置導管之時,尤其是當病人躁動不安或後腹腔瘢痕纖維化時,因此我們利用PTCD附線導管單一穿刺引流,在20例阻塞性尿路病變的患者上所得到的經驗,這種方法不失為一種迅速有效的步驟,它的缺點是管徑太小,不適於腎孟膿腫的病人,有時需要兩支導管灌流才能得到較佳效果;同時如果導管線端拉力不足會導致導管滑脫,拉力過大則會使導管扭曲。因此理想的單一穿刺引導管應能符合下面條件(一)有不同管徑的選擇(二)前端能自動彎曲(三)能夠提供將來放置導針及進一步治療的空間。 單一穿刺引流腎臟造摟術是臨安全又迅速的方法,隨著材料及設計的改善,應可以提供操作者更大的信心與成效。 |
| 英文摘要 | Percutaneous nephrostomy under echo-guidance is a well established lifesaving procedure for obstructive uropathy. The failure of PCN usually happened if the appearances of difficult tract dilation or inappropriate catheter placement, and we have had 11.2% failure rate before. We described our experience of one stage loop catheter for PCN. In 20 cases, all were successfully punctured. The failure of the drainage were due to kinking or dislodgement of the catheter. An ideal one-step loop catheter should includ (1) different sizes of catheters for different purposes, (2) self retained catheters without any string, and (3) providing the easy placement of guide wire for subsequent management. This kind of catheter and technique could be used easily and safely for any emergency obstructive uropathy. |
本系統中英文摘要資訊取自各篇刊載內容。