Yıl 2019, Cilt 4 , Sayı 3, Sayfalar 142 - 147 2019-12-01

Görüntüleme kılavuzluğunda perkütan nefrostomi: 6 yıllık tek merkez deneyimi
Radiologically guided percutaneous nephrostomy: A 6-year single-center experience

Mehmet Şeker [1] , Türkmen Turan Çiftçi [2] , Devrim Akıncı [3] , Okan Akhan [4]


Amaç: Perkütan nefrostomilerin, endikasyonlarını, altta yatan patolojileri, teknik başarı oranını, komplikasyonları ve genel faydalarını retrospektif olarak incelemek.

Materyal ve Metod: Ocak 1999 ile Aralık 2004 tarihleri arasında görüntüleme kılavuzluğunda perkütan nefrostomi yapılan 578 hastanın verileri retrospektif olarak incelenmiştir. Hastaların ortalama yaşı 42,5 yıl idi (6 gün–90 yıl).  İşlem endikasyonları üriner enfeksiyon olmadan obstrüksiyon varlığı (% 77,9), üriner enfeksiyon ile beraber obstrüksiyon varlığı (%13,1), üriner diversiyon (%6,9) ve böbrek fonksiyonları değerlendirme (%2,1) idi.

Bulgular: Teknik başarı oranı % 99,4 idi. İşlemle ilişkili mortalite izlenmedi. Çocuklarda major hemoraji ya da sepsis görülmemişti. Erişkin hastalarda major kanama oranı % 1,55, sepsis oranı ise %2,65 idi. Kateter dislokasyonu en sık ortaya çıkan komplikasyondu ve oranı toplamda %11,4 idi. Hastaların %7,2'sinde başka girişim yapılmadan perkütan nefrostomi ile başarılı tedavi sağlandı. Hastaların %36,5'inde cerrahi ile ve %14,7'sinde ise üreteral stent yerleştirilerek kesin tedavi sağlandı.

Sonuç: Radyoloji kılavuzluğunda yapılan perkütan nefrostomi, yüksek teknik başarı ve düşük komplikasyon oranları ile çok çeşitli endikasyonlarda etkili ve güvenli bir şekilde kullanılabilir.

Aim: To retrospectively analyze the indications, underlying pathologies, technical success rate, complications and benefit of percutaneous nephrostomies in a single centre.

Materials and Methods: Data of 578 patients who underwent radiologically guided percutaneous nephrostomy between January 1999 and December 2004 were retrospectively reviewed. The mean age of the patients was 42.5 years (range, 6 days–90 years). The indications were urinary obstruction without urinary infection (77.9%),  urinary obstruction with urinary infection (13.1%), urinary diversion (6.9%) and diagnostic testing (2.1%).

Results: The technical success rate was 99.4%. There was no procedure related mortality. Major hemorrhage or sepsis were not observed in children. Major hemorrhage occurred in 1.55% and sepsis occured in 2.65% of adult patients. Catheter dislodgement was the commonest complication with an overall rate of 11.4%. In 7.2% patients, percutaneous nephrostomy was successful in managing patients without further intervention.  36.5% of patients had surgery and 14.7%  had ureteral stenting as definitive treatment. 

Conclusion: Radiologically guided percutaneous nephrostomy, can be used effectively, and safely in a wide variety of indications with high technical success and low complications rates.

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Birincil Dil en
Konular Tıp
Bölüm Orjinal Makale
Yazarlar

Orcid: 0000-0002-6745-0159
Yazar: Mehmet Şeker (Sorumlu Yazar)
Kurum: İSTANBUL MEDİPOL ÜNİVERSİTESİ
Ülke: Turkey


Orcid: 0000-0002-1284-859X
Yazar: Türkmen Turan Çiftçi
Kurum: HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Orcid: 0000-0002-8189-4688
Yazar: Devrim Akıncı
Kurum: HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Orcid: 0000-0002-6864-0229
Yazar: Okan Akhan
Kurum: HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Aralık 2019

Bibtex @araştırma makalesi { acem605006, journal = {Archives of Clinical and Experimental Medicine}, issn = {}, eissn = {2564-6567}, address = {hırkai şerif mah. keçeci çeşmesi sok. doktorlar sitesi b blok 6/7 Fatih İstanbul Türkiye}, publisher = {Mustafa Hasbahçeci}, year = {2019}, volume = {4}, pages = {142 - 147}, doi = {10.25000/acem.605006}, title = {Radiologically guided percutaneous nephrostomy: A 6-year single-center experience}, key = {cite}, author = {Şeker, Mehmet and Çiftçi, Türkmen Turan and Akıncı, Devrim and Akhan, Okan} }
APA Şeker, M , Çiftçi, T , Akıncı, D , Akhan, O . (2019). Radiologically guided percutaneous nephrostomy: A 6-year single-center experience. Archives of Clinical and Experimental Medicine , 4 (3) , 142-147 . DOI: 10.25000/acem.605006
MLA Şeker, M , Çiftçi, T , Akıncı, D , Akhan, O . "Radiologically guided percutaneous nephrostomy: A 6-year single-center experience". Archives of Clinical and Experimental Medicine 4 (2019 ): 142-147 <https://dergipark.org.tr/tr/pub/acem/issue/50377/605006>
Chicago Şeker, M , Çiftçi, T , Akıncı, D , Akhan, O . "Radiologically guided percutaneous nephrostomy: A 6-year single-center experience". Archives of Clinical and Experimental Medicine 4 (2019 ): 142-147
RIS TY - JOUR T1 - Radiologically guided percutaneous nephrostomy: A 6-year single-center experience AU - Mehmet Şeker , Türkmen Turan Çiftçi , Devrim Akıncı , Okan Akhan Y1 - 2019 PY - 2019 N1 - doi: 10.25000/acem.605006 DO - 10.25000/acem.605006 T2 - Archives of Clinical and Experimental Medicine JF - Journal JO - JOR SP - 142 EP - 147 VL - 4 IS - 3 SN - -2564-6567 M3 - doi: 10.25000/acem.605006 UR - https://doi.org/10.25000/acem.605006 Y2 - 2019 ER -
EndNote %0 Archives of Clinical and Experimental Medicine Radiologically guided percutaneous nephrostomy: A 6-year single-center experience %A Mehmet Şeker , Türkmen Turan Çiftçi , Devrim Akıncı , Okan Akhan %T Radiologically guided percutaneous nephrostomy: A 6-year single-center experience %D 2019 %J Archives of Clinical and Experimental Medicine %P -2564-6567 %V 4 %N 3 %R doi: 10.25000/acem.605006 %U 10.25000/acem.605006
ISNAD Şeker, Mehmet , Çiftçi, Türkmen Turan , Akıncı, Devrim , Akhan, Okan . "Radiologically guided percutaneous nephrostomy: A 6-year single-center experience". Archives of Clinical and Experimental Medicine 4 / 3 (Aralık 2019): 142-147 . https://doi.org/10.25000/acem.605006
AMA Şeker M , Çiftçi T , Akıncı D , Akhan O . Radiologically guided percutaneous nephrostomy: A 6-year single-center experience. ACEM. 2019; 4(3): 142-147.
Vancouver Şeker M , Çiftçi T , Akıncı D , Akhan O . Radiologically guided percutaneous nephrostomy: A 6-year single-center experience. Archives of Clinical and Experimental Medicine. 2019; 4(3): 147-142.