微创经皮肾穿刺碎石取石术并发症的探讨  

Minimally Invasive Percutaneous Lithotripsy Complications

作　　者：李龙[1] 彭敦莽 张志国[1] 任晓[1] 汤华章[1] 龙益军[1] 

机构地区：[1]湖南省浏阳市人民医院泌尿外科,湖南浏阳410300

出　　处：《中国现代医生》2010年第20期102-103,共2页China Modern Doctor

摘　　要：目的探讨微创经皮肾穿刺碎石、取石术并发症的发生及可能原因,有利于临床中尽可能减少并发症且积极有效地治疗并发症。方法回顾分析本院356例微创经皮肾穿刺碎石、取石术患者临床资料,其中158例皮穿刺点在肩胛下角线附近11肋间或12肋下(标记为A组),198例皮穿刺点在腋后线附近11肋间或12肋下(标记为B组)。结果本组共发生大出血18例,其中A组15例,B组3例。结论两组病例大出血并发症发生率具差异性,即皮穿刺点离肩胛下角线越近,越易发生大出血并发症。Objective Minimally invasive percutaneous lithotripsy complications and possible causes Clinical benefit in minimizing complications, and active and effective in the treatment of complications. Methods Retrospective analysis of 356 cases of hospital minimally invasive percutaneous lithotripsy clinical data of patients Of which 158 cases of skin puncture point near the 11th rib in the subscapular moldings or 12 ribs （marked as A）,198 cases of skin puncture point near the posterior axillary line or 12 rib 11 rib （marked as B）. Results The bleeding occurred in 18 cases, 15 cases in which A, B group 3 patients. Conclusion The statistical analysis, two groups of patients with bleeding complication rate differences, that is, away from the skin puncture point closer subscapular moldings, the more prone to bleeding complications.

关 键 词：微创经皮肾取石术 并发症 

分 类 号：R691.4[医药卫生—泌尿科学]