摘要
目的探讨超选择性肾动脉栓塞治疗微创经皮肾镜取石术后继发出血的临床价值。方法回顾和分析我院2003年2月￣2007年5月应用微创经皮肾镜取石术(MPCNL)治疗上尿路结石1311例术后并发出血行超选择性肾动脉栓塞治疗5例的资料。结果5例中4例一次性治愈,1例3d后再次行栓塞治疗后治愈。5例患者栓塞后出血立即得到控制。出血原因:1例肾动脉损伤,3例假性动脉瘤,1例动静脉瘘。术后无一例发生栓塞后综合症、异位栓塞现象及其他介入治疗并发症。5例术后1个月复查肾图、IVU和B超声,患肾功能均有不同程度改善,术后无明显肾功能损害。结论超选择性肾动脉栓塞是MPCNL术后出血治疗的首选方法,安全性高,疗效好。
Objective To investigate the experience in treatment of hemorrhage after mini-pereutaneous nephrolithotomy with super-se- lective renal arterial embolization（SRAE）.Methods From Feb 2003 to May 2007, 1311 eases of mini-pereutaneous nephrolithotomy, 5 eases of massive bleeding were treated with super-selective renal arterial embolization （ SRAE）.Results In 5 eases ,4 eases were sue- eessfully with first treated of SRAE, 1 healed after second time.Bleeding was controlled thoroughly.1 ease was injury of renal artery,3 eases were arterial pseudoaneurysm and 1 ease was arteriovenous fistula.No embolization syndromes,eetopie embolism and other interventional complications happened. The renogram,intravenous urogram and B-ultrasound were rechecked followed-up one month and renal function was ameliorated respectively.Conclusion Surper-seleetive renal arterial embolization is the right method in treatment of hemorrhage after p ereutaneous nephrolithotomy.
出处
《江西医药》
CAS
2007年第11期973-975,共3页
Jiangxi Medical Journal
关键词
出血
肾动脉
栓塞
微创经皮肾穿刺取石术
肾结石
hemorrhage
renal artery
chemoembolization
mini-percutaneous nephrolithotomy
kidney calculi
