{"id":11899,"date":"2025-07-31T10:50:47","date_gmt":"2025-07-31T14:50:47","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/nephrostomy\/"},"modified":"2025-07-31T10:50:47","modified_gmt":"2025-07-31T14:50:47","slug":"nephrostomie","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/de\/glossary-term\/nephrostomie\/","title":{"rendered":"Nephrostomie"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-11899","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>Eine Nephrostomie ist eine chirurgische \u00d6ffnung in die Niere, um den Urin abzuleiten, wenn der normale Abfluss blockiert ist. Dabei wird ein Katheter durch die Haut und in das Sammelsystem der Niere eingef\u00fchrt, um einen k\u00fcnstlichen Weg f\u00fcr die Urinableitung zu schaffen.<span class=\"citation\">\u00a4\u00a40001\u00a4\u00a4<\/span> Dieses minimalinvasive Verfahren wird typischerweise durchgef\u00fchrt, wenn ein retrograder Harnleiterzugang \u2013 \u00fcber die Harnr\u00f6hre und die Blase \u2013 aufgrund anatomischer oder pathologischer Faktoren nicht m\u00f6glich ist.<span class=\"citation\">\u00a4\u00a40002\u00a4\u00a4<\/span> Das Verfahren stellt eine direkte Verbindung zwischen der Niere und der Au\u00dfenseite des K\u00f6rpers her und umgeht Hindernisse im Harntrakt Trakt.<span class=\"citation\">\u00a4\u00a40003\u00a4\u00a4<\/span><\/p>","gt-synonyms":"Perkutane Nephrostomie (PCN), Perkutane Nephrostomiekan\u00fcle (PNT), Nephropyelostomie, Nierenbeckenkatheterisierung, Perkutane Nierendrainage","gt-citation":"[1] Young M, Leslie SW. Percutaneous Nephrostomy. StatPearls. 2023. PMID: 30725605. DOI: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK493205\/\n\n[2] Dagli M, Ramchandani P. Percutaneous Nephrostomy: Technical Aspects and Indications. Semin Intervent Radiol. 2011 Dec;28(4):424-437. DOI: 10.1055\/s-0031-1296085. PMID: 23204641.\n\n[3] Siddiqui NH, Schwartz BF. Percutaneous Nephrostomy. Medscape. Aktualisiert May 9, 2024. Verf\u00fcgbar unter: https:\/\/emedicine.medscape.com\/article\/1821504-overview\n\n[4] Goodwin WE, Casey WC, Woolf W. Percutaneous trocar (needle) nephrostomy in hydronephrosis. J Am Med Assoc. 1955;157(11):891-894. DOI: 10.1001\/jama.1955.02950280015005","gt-clinical-context":"<p>Eine Nephrostomie ist in erster Linie zur Linderung von Harnwegsobstruktionen indiziert, die 85\u201390 % aller Nephrostomieeins\u00e4tze ausmachen.<span class=\"citation\">\u00a4\u00a40001\u00a4\u00a4<\/span> Die drei h\u00e4ufigsten Ursachen f\u00fcr Nierenobstruktionen bei Erwachsenen sind Harnsteine, b\u00f6sartige Erkrankungen und iatrogene gutartige Strikturen.<span class=\"citation\">\u00a4\u00a40002\u00a4\u00a4<\/span><\/p>\n \n <p>Zu den Kriterien f\u00fcr die Patientenauswahl geh\u00f6ren Patienten mit gutartigen oder b\u00f6sartigen Erkrankungen, die eine Harnwegsobstruktion verursachen, und Chirurgen haben einen L\u00f6sungsplan, sobald die unmittelbare Bedrohung angegangen ist.<span class=\"citation\">\u00a4\u00a40003\u00a4\u00a4<\/span> Die dringendste Indikation ist ein akut verstopfter und infizierter Harntrakt (Pyonephrose, obstruktive Pyelonephritis oder Urosepsis), der lebensbedrohlich sein kann.<span class=\"citation\">\u00a4\u00a40004\u00a4\u00a4<\/span><\/p>\n \n <p>Der chirurgische Eingriff beginnt mit einer diagnostischen Querschnittsbildgebung (Ultraschall oder Computertomographie), um die Obstruktion zu best\u00e4tigen und die Pathologie zu identifizieren.<span class=\"citation\">\u00a4\u00a40005\u00a4\u00a4<\/span> Unter \u00f6rtlicher Bet\u00e4ubung und Sedierung wird eine Nadel durch die Haut in das Sammelsystem der Niere eingef\u00fchrt, gefolgt von der Platzierung eines Drainagekatheters.<span class=\"citation\">\u00a4\u00a40006\u00a4\u00a4<\/span> Dies erm\u00f6glicht eine minimalinvasive Dekompression der verstopften Niere und erm\u00f6glicht die Probenentnahme f\u00fcr die Diagnose Zwecke.<span class=\"citation\">\u00a4\u00a40007\u00a4\u00a4<\/span><\/p>\n \n <p>Zu den erwarteten Ergebnissen geh\u00f6ren die sofortige Linderung der Obstruktion und der Erhalt der Nierenfunktion. Eine vollst\u00e4ndige Wiederherstellung der Nierenfunktion ist selbst bei vollst\u00e4ndiger mechanischer Obstruktion f\u00fcr bis zu einer Woche wahrscheinlich, wobei die Erholungsraten nach diesem Zeitraum abnehmen.<span class=\"citation\">\u00a4\u00a40008\u00a4\u00a4<\/span> Bei dauerhafter Obstruktion kann eine langfristige Nephrostomie erforderlich sein, obwohl sie bestimmte Morbidit\u00e4ten mit sich bringt, die ber\u00fccksichtigt werden m\u00fcssen.<span class=\"citation\">\u00a4\u00a40009\u00a4\u00a4<\/span><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":44},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Nephrostomie: Minimally Invasive Kidney Drainage Procedure<\/title>\n<meta name=\"description\" content=\"Bei der Nephrostomie handelt es sich um einen chirurgischen Eingriff, bei dem ein Abflussweg aus 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