经皮肾穿刺取石术后并发出血的介入治疗  

The Experience in Treatment of Bleeding after Mini--invasive Percutaneous Nephrolithotomy by Interventional Therapy

作　　者：杨青[1] 颜汝平[2] 王家平[2] 郭立[1] 李迎春[1] 丁明霞[2] 

机构地区：[1]昆明医学院第二附属医院介入室,云南昆明650101 [2]昆明医学院第二附属医院泌尿外科,云南昆明650101

出　　处：《实用放射学杂志》2010年第1期101-102,共2页Journal of Practical Radiology

摘　　要：目的探讨微创经皮肾穿刺取石术（mini—invasive percutaneous nephrolithotomy，MPCNL）并发肾出血的介入治疗价值。方法2007—02—2008—12间16例经MPCNL治疗上尿路结石后出现肾出血病例行介入治疗术，其中14例行患肾超选择栓塞治疗，1例行患肾主干栓塞治疗，1例为肾包膜下出血经包膜动脉灌注。结果16例中15例介入栓塞治疗治愈。结论MPC—NL并发肾出血介入栓塞治疗是首选的治疗方法。Objective To investigate the value of interventional therapy for nephrorrhagia after mini--invasive percutaneous nephrolithotomy（MPCNL）. Methods From February 2007 to December 2008,16 cases with nephrorrhagia after MPCNL underwent interventional therapy,of them, 14 cases treated with super--selective embolization,one case treated by kindey arterial embolization and one case with renal subcapsular bleeding treated by reptilase intra--arterial infusion. Results In 16 cases, 15 cases were Successfully treated by emholization. Conclusion Interventional therapy is the first choice method for treating nephrorrhagia after MPCNL.

关 键 词：肾 肾穿刺取石术 并发症 肾出血 介入栓塞治疗 

分 类 号：R692.4[医药卫生—泌尿科学] R692[医药卫生—外科学]