Discussion of percutaneous nephrostomy technique with prevention and treatment of complications

Ze Fu Zhang, Hui Ming Liang, Chuan Sheng Zheng, Han Pin Wu, Guo Feng Zhou

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To analyze the complications and treatment technique of percutaneous nephrostomy. Methods: 247 hydronephrosis cases treated with percutaneous nephrostomy guided by ultrosound and fluroscopy from Januray 2007 to April 2008 were evaluated retrospectively and the causes of complications and suitable treatments were analyzed. Results: The successful rate of percutaneous nephrostomy in 247 hydronephrotic cases reached 100%. In all cases, 4 cases occurred with severe complications (1.6%) including 3 massive hemorrhage and 1 septic shock during the operation. The minor complications (25 cases, 10%) were hematuria, urinary tract infection, local haematoma, perirenal haematoma, detachment of drainage tube with obstruction and exodus, internal double-J catheter displacement and obstruction, etc. Conclusion: The operative safety and treatment efficacy of percutaneous nephrostomy could be achieved through skillful management and comprehensive preoperative evaluation of the risk factors for the complications.

Original languageEnglish (US)
Pages (from-to)868-869
Number of pages2
JournalJournal of Interventional Radiology
Volume17
Issue number12
StatePublished - Dec 2008

Keywords

  • Complication
  • Nephrostomy
  • Ultrasound X-ray fluoroscopy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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