电凝止血在经皮肾镜取石术并发出血中的应用  

Application of Electroagulation Hemostasis in Treatment of Hemorrhage after Percutaneous Nephrolithotomy

作　　者：胡韶华[1] 王建明[1] 涂娟[1] 许振琦[1] 曹昭礼[1] 

机构地区：[1]南昌市第二医院泌尿外科,南昌330003

出　　处：《实用临床医学（江西）》2010年第9期42-43,共2页Practical Clinical Medicine

摘　　要：目的探讨运用电凝止血处理经皮肾镜取石术(PCNL)并发出血的治疗效果。方法回顾分析2007年6月至2009年5月12例经皮肾镜取石术术中术后出血病例运用电凝止血的临床资料。结果 12例患者均止血成功,无中转开放手术或需急诊行肾切除者,无需急诊行DSA高选择性肾动脉栓塞止血者。结论对于严重的经皮肾镜取石术并发出血者,可行电凝止血,该方法简便易行,有利于PCNL手术的推广,是一种有效、安全的止血方法。Objective To explore the efficacy of electroagulation hemostasis in treatment of hemorrhage complication after percutaneous nephrolithotomy（PCNL）.Methods The clinical data of 12 cases of hemorrhage complication during and after PCNL from June 2007 to May 2009 were retrospectively analyzed.Results All patients were healed without turning to open surgery or performing nephrectomy emergently,or using digital substraction angiography（DSA） highly selective renal artery embolization.Conclusion Severe hemorrhage complication in PCNL can be cured by electroagulation hemostasis,which is safe,feasible and effective for hemostasis,and conducive to popularizing PCNL.

关 键 词：经皮肾镜取石术 出血 电凝止血 

分 类 号：R692.4[医药卫生—泌尿科学]