经皮肾镜取石术后肾出血的超选择性动脉栓塞治疗  

Hyper-selective arterial embolization for kidney hemorrhage after percutaneous nephrolithotomy

作　　者：刘胜[1] 郑延波[1] 王涛[1] 

机构地区：[1]山东省烟台市毓璜顶医院,山东烟台264000

出　　处：《中国当代医药》2013年第8期190-190,192,共2页China Modern Medicine

摘　　要：目的研究超选择性动脉栓塞治疗经皮肾镜取石术后肾出血的方法与效果。方法对25例经皮肾镜取石术后肾动脉出血患者采用Seldinger技术穿刺股动脉,超选择插管至肾动脉分支出血处,采用明胶海绵、弹簧圈进行栓塞。结果 25例均成功止血,无明显并发症。结论超选择插管肾动脉栓塞治疗经皮肾镜取石术后肾出血创伤小,疗效好,并发症少,能最大限度地保护肾功能。Objective To investigate the method and effects of hyper-selective arterial embolization for kidney hemor- rhage after percutaneous nephrolithotomy. Methods Twenty five patients with kidney hemorrhage after percutaneous nephrolithotomy were treated with retrograde femoral （Seldinger） arterial puncture. A tube was hyper-selectively catheterized to the bleeding site of renal arterial branches, and gelatin sponge and coil were used for embolization. Results Twenty five patients showed successful control of bleeding with no Obvious complications. Conclusion Hyper- selective renal arterial embolization has minor damage, great efficacy, few complication in treatment of kidney hemor- rhage after percutaneous nephrolithotomy, and it has maximum kidney protection.

关 键 词：经皮肾镜取石 肾出血 血管造影 栓塞 

分 类 号：R692.4[医药卫生—泌尿科学]