[Percutaneous drainage nephrostomy guided by ultrasound. Apropos of 80 adult cases].
The carrying out of an ultrasound percutaneous nephrostomy requires the combined use of several technics: local anesthesia; ultrasound transducer-fixed puncture probe insertion; angiographic method; route dilatation. A study of a series of 80 DUPN operations carried out in patients with febrile upper urinary tract obstruction and/or acute failure, showed that this operation is simple and rapid (lasting 24 minutes on average). Failures occurred rarely (6.2%) and were most often related to insufficient dilatation of the renal cavities. Complications were limited: 1 case of hemorrhage, 1 case of urinoma, 4 cases of infection, no case of perforation of a neighboring organ. Incidents were more frequent and those were probe-related (9 dislodgments were required). Furthermore, the DUPN opens the way to many new diagnostic opportunities.
Delavierre
D
D
Unité d'Urologie, CHU Morvan, Brest.
Fournier
G
G
Mangin
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D014463:Ultrasonography; D014515:Ureteral Diseases / Q000175:diagnosis / Q000628:therapy
La néphrostomie percutanée échoguidée de drainage. A propos de 80 cas chez l'adulte.