微创经皮肾穿刺取石术并发出血的治疗体会  

The experience in treatment of bleeding after mini-percutaneous nephrolithotomy

作　　者：梁卓寅[1] 梁志雄[1] 陈琇萌[1] 叶向东[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,510230

出　　处：《中国医师进修杂志》2006年第11期9-10,13,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨微创经皮肾穿刺取石术并发出血的治疗体会。方法回顾和分析2001年2月～2006年5月应用微创经皮肾穿刺取石术治疗上尿路结石3910例中出现大出血的20例资料。结果20例中19例治愈（16例行介入栓塞治疗，2例采用输血和导管压迫止血等保守治疗，1例行患肾切除术）。但还有1例经上述治疗无效，最后并发DIC死亡。结论出血是微创经皮肾穿刺取石术最常见和最主要的并发症。术中细致操作，术后细致观察，及时采取相应治疗措施，患者的手术安全性一定会得到很大提高。Objective To investigate the treatment of hemorrhage after mini - percutaneous nephrolithotomy. Method From February 2001 to May 2006, 20 clinical data of severe bleeding were retrospectively analysed in 3910 cases of mini - percutaneous nephrulithotomy in treatment of upper urinary calculi. Results In 20 cases, 19 were successfully treated, in which 2 patients can be treated with expectant treatment （transfusion and catheter compression）, 16 cases were rendered with super -selective arterial embolization; 1 case with nephrectomy; 1 case wsa suffered from DIC and died. Conclusions The most familiar complication of mini - peroutaneous nephrolithotomy is bleeding. If only be more carefully and try the right way in time, the safety of the operation must be increased.

关 键 词：微创经皮肾穿刺取石术 并发症 出血 

分 类 号：R691.4[医药卫生—泌尿科学]