摘要
目的探讨超选择性肾动脉栓塞术在经皮肾镜取石术(PCNL)后肾动脉性出血中的应用及栓塞方式的选择,评价其疗效及对肾功能的影响。方法回顾性分析宁波市泌尿肾病医院放射科2008年11月—2012年10月收治的21例因PCNL后出现间断性肉眼血尿而接受肾动脉栓塞的患者,经超选择性肾动脉栓塞术后,分析其手术结果、实验室检查结果和术后并发症。结果本组21例患者中,20例1次栓塞后成功,成功率为95.2%;1例患者术后48 h再次出现血尿,给予二次栓塞,出血停止。术后第1天血红蛋白及血细胞比容均较术前下降、术后第3天均较第1天升高(P<0.05)。12例患者术后出现不同程度的栓塞综合征,经对症治疗后均好转。结论在PCNL后不同类型肾动脉出血的介入治疗中,个性化的栓塞治疗对于提高一次止血成功率及最大保存患肾功能具有较高的价值。
Objective To discuss ultraselective renal artery embolization in treatment of real arterial hemorrhage after percutaneous nephrolithotomy （PCNL） and to evaluated its effects and influence on renal function. Methods Data of 21 pa- tients with intermittent macroscopic hematuria after PCNL admitted to this hospital from November 2008 to October 2012 were ana- lyzed retrospectively. The surgery outcome and postoperative complications after ultrasetective renal artery embolization were ana- lyzed. Results Twenty patients had one - off successful embolization （95.2%）, 1 had hematuria again 48 h after operation and stopped after a second embolization. The hemoglobin and hematocrit was lower on day 1 after operation than before, higher on days 3 than on day 1 （ P 〈 0. 05 ）. Twelve patients had varying degrees of embolism syndrome after operation and improved af- ter symptomatic treatment. Conclusion In interventional treatment of different post - PCNL renal artery bleedings, personalized embolization is of great value in improving one - off success rate and protecting renal function.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第32期3854-3856,共3页
Chinese General Practice
关键词
肾造口术
经皮
肾动脉
出血
介入治疗
Nephrostomy, percutaneous
Renal artery
Haemorrhage
Interventional therapy
