title: [A comparison of curative effects of percutaneous nephrostomy and open surgery in the management of postrenal acute renal failure].
abstract: OBJECTIVE
  To investigate the effects and clinical value of percutaneous nephrostomy (PCN) in the management of postrenal acute renal failure (PARF).
  
  
  METHODS
  The clinical data of 40 cases of PARF for the treatment of PCN and 20 cases with open surgery were retrospectively analyzed.
  
  
  RESULTS
  The success rate of PCN was 100%, renal function of all patients was restored to normal range after 2-7 days of PCN, in whom 30 patients recovered. In 10 patients nephrostomy was prolonged, among them 2 patients had recurrent abdominal tumors, and 8 patients had cervical cancer in late phase. There was no death, and no complications except hematuria. In the open surgery group, renal function of 19 cases recovered to normal range after 2-7 days of drainage. Lung infection occurred in 3 patients after operation, and they recovered with antibiotic therapy. One patient died of multiple organ dysfunction failure (MOF).
  
  
  CONCLUSIONS
  For PARF, PCN is preferable because of minimal trauma, less blood loss, as well as rapid recovery and better effect on recovery of renal function.
authors.affiliation: Department of Urology, The Second Affiliated Hospital of Dalian Medical University, Dalian 116023, Liaoning, China. li_chuangang@sina.com
authors.forename: Chuan-gang
authors.initials: CG
authors.lastname: Li
authors.forename: Zhi-lu
authors.initials: ZL
authors.lastname: Fan
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.forename: Wei-bing
authors.initials: WB
authors.lastname: Sun
authors.forename: Yong-ji
authors.initials: YJ
authors.lastname: Liu
authors.forename: Mo-lin
authors.initials: ML
authors.lastname: Li
mesh_terms: D058186:Acute Kidney Injury / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D012189:Retrospective Studies; D016896:Treatment Outcome