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目的探讨微创经皮肾镜取石术(MPCNL)并发出血的原因及临床处理。方法对收治的1 367例MPCNL患者中术后24 h内血红蛋白下降值超过30 g/L的62例的临床资料进行回顾分析。结果 62例中保守治疗治愈55例,行超选择性栓塞止血6例,行肾切除止血1例,无死亡病例发生。结论对MPCNL患者选择合适手术时机,术中规范操作程序;术后准确判断出血的原因并及时治疗,可以有效地防治MPCNL并发出血。
Objective To investigate the causes and clinical management of minimally invasive percutaneous nephrolithotomy (MPCNL) with bleeding. Methods A retrospective analysis was performed on the clinical data of 62 cases of 1 367 MPCNL patients who had a hemoglobin value of over 30 g / L within 24 hours after operation. Results Among the 62 cases, 55 cases were cured by conservative treatment. Six cases underwent super-selective embolization and one case underwent nephrectomy to stop bleeding. No deaths occurred. Conclusion MPCNL patients choose the appropriate timing of surgery, intraoperative standard procedures; accurately determine the cause of bleeding and timely treatment, can effectively prevent and treat MPCNL bleeding.