经皮肾镜取石并发大出血的临床治疗(附11例报告)  

Clinical treatment of severe kidney hemorrhage followed by percutaneous nephrolithotomy:report of 11 cases

作　　者：任胜强[1] 梁宇[1] 刘星明[1] 桑乾宏[1] 徐立奇[1] 王强辉[1] 沈乾[1] 邬旭明[1] 蔡雅富[1] 

机构地区：[1]解放军113医院泌尿外科,浙江宁波315040

出　　处：《东南国防医药》2010年第5期410-411,共2页Military Medical Journal of Southeast China

摘　　要：目的探讨经皮肾镜取石并发大出血的临床治疗。方法 2000年3月至2009年6月行经皮肾镜取石术1150例,11例并发术后大出血,其中9例行选择性肾动脉栓塞术,2例行开放性手术止血。结果 11例治疗均取得成功,无手术并发症,无肾切除病例。结论经皮肾镜取石术并发大出血行选择性肾动脉栓塞术创伤小、见效快,能最大限度保护肾功能,可作为首选治疗,而开放性手术止血对于出血凶猛、无条件及时行栓塞术时,也是一种有效的办法,还可处理残余结石及伴随疾病。Objective To explore the clinical treatment of severe hemorrhage followed by percutaneous nephrolithotomy（PCNL）.Methods Clinical data of 1150 cases of PCNL for kidney calculi from Mar 2000 to Jun 2009 were selected.11 cases complicated severe kidney hemorrhage followed by PCNL.Opening operation was performed in 2 cases and selective renal arterial embolization was performed in 9 cases.Results Operations in 11 cases were successful.There was no complicating disease after treatment.Conclusion Selective kidney arterial embolization is a reliable and effective operation in the treatment of severe hemorrhage followed by PCNL,which can keep main function of kidney.The opening operation also is an effective treatment for some special cases.

关 键 词：经皮肾镜取石 肾出血 动脉栓塞术 开放手术 

分 类 号：R692.4[医药卫生—泌尿科学]