摘要
目的分析微创经皮肾镜取石术(MPCNL)后大出血的原因,总结介入治疗的经验。方法回顾性分析2004年8月～2007年1月862例MPCNL患者的临床资料,术后发生大出血5例,行超选择性肾动脉栓塞止血,均取得满意疗效。结果MPCNL术后大出血的发生率为0.58%(5/862),其中4例行1次介入栓塞后成功止血,1例行2次介入栓塞后止血。结论介入栓塞治疗是MPCNL术后大出血安全、有效的治疗手段。
[Objective] To analyze the causes of severe hemorrhage following minimally invasive percutaneous nephrolithotomy （MPCNL）, and to summarize the experience of selective renal arterial embolization. [Methods] A retrospective study was accomplished on 862 patients of minimally invasive percutaneous nephrolithotomy from August 2004 to January 2007.5 cases developed severe hemorrhage after MPCNL, and were treated by selective renal arterial embolization, the result was satisfactory. [Results] The rate of severe hemorrhage following MPCNL was 0.58% （5/862）, 4 cases were performed interventional embolization once, and 1 case was performed twice, all the patients were hemostasised successfully. [Conclusion] Interventional therapy is a safe and effective method in the treatment of severe hemorrhage after MPCNL.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第1期22-23,26,共3页
China Journal of Endoscopy
关键词
经皮肾镜取石术
出血
介入治疗
pereutaneous nephrolithotomy
hemorrhage
interventional treatment
