经皮肾镜微创术后肾包膜下积液或血肿的治疗体会  

Experience Treatment of Renal Subcapsular Fluid or Hematoma After Minimally Invasive Percutaneous Nephrolithotomy

作　　者：齐强元 徐英民 孟凡敏 

机构地区：[1]山东省临沂市中心医院泌尿外科,山东临沂276400

出　　处：《中国继续医学教育》2017年第16期147-149,共3页China Continuing Medical Education

摘　　要：目的探讨经皮肾镜微创术后症状性肾包膜下积液或血肿的治疗方法及结果。方法我院2014年1月—2016年11月对286例上尿路结石患者行经皮肾镜微创取石手术治疗患者,术后共有13例患者出现症状性肾包膜下积液或肾包膜下血肿的临床治疗资料,均采取穿刺引流治疗,即在局部麻醉下行B超引导肾包膜下积液或血肿利用经皮肾镜穿刺套装穿刺引流方法。结果 13例患者经穿刺引流后均成功治愈。结论经皮肾包膜下积液穿刺引流对症状性肾包膜下积液或血肿可取得治愈性效果。Objective To investigate the treatment and outcome of symptomatic renal subcapsular hydrops or hematoma after minimally invasive percutaneous nephrolithotomy. Methods In our hospital from January 2014 to November 2016, 286 patients with upper urinary tract calculi underwent minimally invasive percutaneous nephrolithotomy, a total of 13 patients with symptomatic subcapsular effusion or subcapsular hematoma were treated by puncture and drainage, under local anesthesia, B ultrasound guided renal capsule effusion or hematoma, percutaneous nephrolithotomy puncture puncture drainage method. Results 13 cases were successfully cured by puncture and drainage. Conclusion Percutaneous renal subcapsular hydrops puncture and drainage can achieve a curative effect on symptomatic renal subcapsular effusion or hematoma.

关 键 词：经皮肾镜 症状性肾包膜下血肿 积液 B超引导 经皮肾穿刺 

分 类 号：R586[医药卫生—内分泌]