经皮肾镜取石术并发症分析  

Clinical analysis of complications of percutaneous nephrostomy lithotomy

作　　者：郑刚[1] 

机构地区：[1]淮南市第一人民医院泌尿外科,安徽省淮南232038

出　　处：《中国基层医药》2012年第11期1616-1617,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨经皮肾镜取石术（PCNL）的并发症及其处理方法。方法回顾性分析137例PCNL患者的临床资料，统计分析并发症发生情况。结果137例PCNL患者中，男83例，女54例；肾结石103例，输尿管结石34例，其中肾结石合并输尿管结石24例。均治愈出院，无1例死亡；发生并发症9例，其中穿刺失败1例，肾脏大出血5例，术后动静脉瘘1例，感染2例。结论PCNL具有微创、高效的特点，但仍可发生较严重的并发症，应加强防治措施。Objective To investigate the complication and its treatment method of the percutaneous nephro-lithotomy（PCNL）. Methods The clinical data of 137 patients with PCNL, were retrospectively analyzed statistical analysis of complications. Results In 137 cases of PCNL, 83 cases were male ,54 cases were female; 103 cases of kidney stones, ureteral calculi in 34 cases, including 24 cases of nreteral calculi with renal calculi. All patients were cured, no patients died ; complications occurred in 9 cases, in which the puncture failure in 1 case, renal hemorrhage in 5 cases, postoperative arteriovenous fistula in 1 case, infection in 2 cases. Conclusion PCNL is minimally invasive, effective, but still had more serious complications. We should strengthen the prevention and cure measures.

关 键 词：内窥镜检查 手术中并发症 输尿管结石症 肾结石 

分 类 号：R699[医药卫生—泌尿科学]