经皮肾镜碎石术后迟发性大出血的介入治疗

• 作 者: 王充 刘贤奎 李鼎 王建卫 李林 刘晓光 连文峰 李杰 苗晓林
• 机 构: 保定市第一中心医院泌尿外科,中国医科大学附属第一医院泌尿外科,
• 出 处: 中国医科大学学报
• 发表日期: 2013年07期
• 关键词: 经皮肾镜碎石术 出血 肾动脉造影 介入

回顾性分析我院2007年6月至2012年6月应用经皮肾镜碎石术治疗上尿路结石患者(1 676例)术后发生迟发性大出血患者(19例)的临床及介入资料,经超选择肾出血动脉栓塞治疗后治愈,其中假性动脉瘤患者14例,假性动脉瘤伴动静脉瘘患者5例,均一次栓塞成功,大出血停止,随访栓塞前后肾功能无明显变化。认为肾动脉造影能明确肾出血原因,超选择肾动脉栓塞是经皮肾镜碎石术后迟发性大出血的首选治疗,安全有效。

The clinical and interventional data of 19 patients with delayed major bleeding after operation of percutaneous nephrolithotomy (1676 cases) in our hospital from June 2007 to June 2012 were retrospectively analyzed. , And were cured after transcatheter arterial embolization. Among them, 14 cases of pseudoaneurysm and 5 cases of pseudoaneurysm with arteriovenous fistula were successfully embolized. The hemorrhage stopped and the renal function did not change before and after embolization. That renal artery angiography can determine the cause of renal hemorrhage, super-selective renal artery embolization is the preferred treatment of delayed major bleeding after percutaneous nephrolithotomy, safe and effective.