双途径引流治疗肾损伤尿外渗16例

Clinical experience of two-way drainage for urinary leakage caused by renal injury

摘要: 目的：探讨联合应用经皮穿刺引流及双J管内引流治疗肾损伤导致尿外渗的临床适应证及治疗效果。方法：16例肾损伤尿外渗患者给予同时经皮穿刺及放置双J管内引流治疗；其中1例治疗观察期间，因活动性出血严重实施肾切除术。结果：随访1～2年，15例接受双途径引流的患者肾功能正常，经皮穿刺及内引流的保守治疗效果满意，无肾性高血压、肾积水和肾脏感染发生。结论：根据肾损伤引起尿外渗的程度，行经皮穿刺外引流及双J管内引流，可取得良好的治疗效果。

Abstract: Objective:To explore the clinical characteristics,diagnosis and treatment of urinary leakage with percutaneous drainage and double J stent.Methods:Fifteen cases were treated with percutaneous drainage and double J stent.Results:Through 1-2 years follow-up,renal function of all patients were good.No renal hypertension,hydronephrosis and renal infection were detected in cases with percutaneous drainage and double J stent therapy.Conclusions:According to the degree of urinary leakage,the percutaneous external drainage and double J tube drainage have good curative effect.