1955年Goodwin等首先报告经皮肤直接穿刺肾盂放置导管,用于输尿管阻塞的暂时性引流,但应用者不多。近年来,放射泌尿学的进展,对经皮肤穿刺肾造瘘(Percutaneous Nephrostomy以下简称PNS)的原理及应用有了进一步的了解;1977年Stable报告500例PNS并复习文献后更奠定了此术的基础,并扩大了应用范围而渐被重视。现将PNS的操作方法,及应用范围作一综合介绍。 In 1955, Goodwin and others first reported transcatheter direct percutaneous placement of the renal pelvis catheter for temporary drainage of ureteral obstruction, but not many users. In recent years, advances in radiological urology have gained a better understanding of the principles and applications of Percutaneous Nephrostomy (PNS). In 1977, Stable reported 500 cases of PNS and reviewed the literature, which laid the foundation for the study. Based, and expand the scope of application and gradually be taken seriously. PNS now the method of operation, and the scope of application for a comprehensive introduction.