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目的探讨标准通道经皮肾镜取石(PCNL)术后迟发性出血的原因及治疗效果。方法回顾分析30例PCNL术后迟发性出血患者的临床资料并分析出血原因。结果 17例出血患者通过保守治疗治愈,13例保守治疗无效,行超选择性肾动脉栓塞后治愈。结论标准通道经皮肾镜取石术后迟发性出血大多数可通过保守治疗治愈,超选择性肾动脉栓塞是保守治疗无效的有效处理手段。
Objective To investigate the causes and treatment of delayed hemorrhage after percutaneous nephrolithotomy (PCNL) in standard access. Methods The clinical data of 30 patients with delayed bleeding after PCNL were retrospectively analyzed and the causes of bleeding were analyzed. Results 17 cases of bleeding patients were cured by conservative treatment, 13 cases of conservative treatment ineffective, super-selective renal artery embolization cured. Conclusion Most of the delayed hemorrhage after percutaneous nephrolithotomy can be cured by conservative treatment. Superselective renal artery embolization is an effective treatment of ineffective conservative treatment.