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作 者:蓝志相[1] 梁建波[1] 王晓平[1] 玉海[1] 刘刚[1] 李信众[1] 韦华玉[1] 杨金兰[2]
机构地区:[1]广西壮族自治区人民医院泌尿外科,广西南宁530021 [2]广西壮族自治区人民医院超声科,广西南宁530021
出 处:《中国内镜杂志》2009年第3期319-321,共3页China Journal of Endoscopy
摘 要:目的总结微创经皮肾镜取石术并发肾周血肿的诊治体会。方法回顾性分析2004年12月~2008年1月微创经皮肾镜取石术1021例次临床资料。结果术中、术后并发肾周血肿11例,发生率为1.07%。均经B超检查诊断。其中6例仅采用止血对症保守治疗,5例采取相应的外科处理,其中调整肾造瘘管或逆行留置双J管4例,肾盂切开取石并肾周血肿清除1例,所有患者肾周血肿均得到有效控制。结论病史和B超检查是诊断该病的重要手段。主要采用止血对症治疗,相应的外科治疗对部分患者是必需的。[Objective] To analyze the diagnosis and treatment of perinephric hematoma during minimally invasive percutaneous nephrolithotomy (MPCNL). [Methods] From December 2004 to January 2008, the data of 1 021 cases who underwent minimally invasive percutaneous nephrolithotomy were retrospectively analyzed. [Results] 11 cases (1.07%) developed perinephric hematoma by ultrasonic diagnosis. Of the 11 cases, 6 cases had only a conservative observation, 4 cases received adjustment of nephrostomy tube or intra-ureteral Double-J, pyelolithotomy and hematoma was ridded in 1 case, respectively. All the cases with perinephric hematoma were cured successfully. [Conclusions] Diagnosis of perinephric hematoma during minimally invasive percutaneous nephrolithotomy mainly relies on clinical symptoms and ultrasonic examination. Most cases need only conservative treatment. Surgical treatment is essential in some cases.
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