ESWL致肾包膜下、肾周围血肿12例分析及对策  

Analysis of 12 Cases of Renal Subcapsular Hematoma and Perirenal Hematoma Caused by ESWL and Countermeasures

作　　者：林友岳[1] 蔡邦联[1] 王玉殊 陈嗣平[1] 

机构地区：[1]温州医学院附属第三医院碎石中心,浙江瑞安325200

出　　处：《临床泌尿外科杂志》2010年第5期343-345,共3页Journal of Clinical Urology

摘　　要：目的:降低ESWL致肾包膜下、肾周围血肿的发生率。方法:回顾1999～2009年肾结石ESWL后致肾包膜下、肾周围血肿12例的病史资料,分析总结与之密切相关的临床危险因素和术中技术参数。结果:12例肾包膜下、肾周围血肿经积极对症治疗后,9～18个月血肿均消失。高血压、高龄男性、肾下盏结石是重要的临床危险因素,高脉冲能量、多脉冲次数、高脉冲频率是致病的主要技术参数。结论:高血压、高龄男性、肾下盏结石患者术前应良好控制高血压、术中适当降低脉冲能量、合理减少脉冲次数、适当控制脉冲频率是降低ESWL致肾包膜下、肾周围血肿的重要对策。Objective： To reduce the incidence of the renal subcapsular hematoma and perirenal hematoma caused by ESWL. Methods：Collected and collated 12 cases from 1999 to 2009 of renal subcapsular hematoma and perirenal hematoma caused by ESWL. Analyzed and summarized the clinical risk factors and intraoperative technical parameters closely related to it. Results： 12 cases of renal subcapsular hematoma and perirenal hematoma disappeared after treatment in a positive symptomatic after 9 to 18 months. Hypertension, old men, lower calyceal calculi were important clinical risk factors. High pulse energy, excessive number of pulses, high pulse frequency were the main technical parameters of the complication. Conclusions： The patients with hypertension, old men and lower calyceal calculi should be well-controlled hypertension before ESWL , suitably reducing the pulse energy, reasonable reduction in in the number of pulses, proper control of pulse frequency in ESWL were the important countermeasures to reduce the renal subcapsular hematoma and and perirenal hematoma.

关 键 词：体外冲击波碎石 肾包膜下、肾周围血肿 

分 类 号：R692.4[医药卫生—泌尿科学]