论文部分内容阅读
目的探讨经皮肾镜取石并发大出血的临床治疗。方法 2000年3月至2009年6月行经皮肾镜取石术1150例,11例并发术后大出血,其中9例行选择性肾动脉栓塞术,2例行开放性手术止血。结果 11例治疗均取得成功,无手术并发症,无肾切除病例。结论经皮肾镜取石术并发大出血行选择性肾动脉栓塞术创伤小、见效快,能最大限度保护肾功能,可作为首选治疗,而开放性手术止血对于出血凶猛、无条件及时行栓塞术时,也是一种有效的办法,还可处理残余结石及伴随疾病。
Objective To investigate the clinical treatment of percutaneous nephrolithotomy with massive hemorrhage. Methods From March 2000 to June 2009, 1150 patients underwent percutaneous nephrolithotomy and 11 underwent postoperative hemorrhage. Nine patients underwent selective renal artery embolization and two underwent open surgery. Results All the 11 cases were successful in the treatment. There were no complications and no cases of nephrectomy. Conclusion Percutaneous nephrolithotomy combined with hemorrhage in patients with selective renal artery embolization trauma, quick, can maximize the protection of renal function, can be used as the preferred treatment, and open surgery for bleeding hemorrhage fierce, unconditional timely embolization, Is also an effective way, but also to deal with residual stones and concomitant diseases.