摘要
目的:探讨经皮肾镜碎石术(PCNL)并发严重出血的原因和对策。方法:选取我院自2005年7月～2007年8月307例经PCNL治疗肾结石患者的临床资料,研究术中、术后出血的原因以及对策。结果:本组有11例出现严重出血,7例通过补充血容量、止血等保守治疗痊愈出院,4例保守治疗无效,经超选择肾动脉栓塞痊愈出院。结论:术中出现操作并发症、肾实质厚度、既往有肾切开取石手术史、手术时间过长、结石体积较大并质地较硬、感染、多次体外冲击波碎石(ESWL)均能增加出血量,如保守治疗无效,超选择肾动脉栓塞是治疗的有效选择。
Objective:To discuss the cause and treatment of severe hemorrhage in percutaneous nephrolithotomy(PCNL).Methods:Clinical data of 307 cases of PCNL for renal calculi from July 2005 to August 2007 were selected.The causes and treatment of hemorrhage during or after operation were studied.Results:Eleven cases suffered from severe hemorrhage,among them 7 patients were cured conservatively by supplement blood volume,haemostasis therapy etc,4 cases who did not respond to conservative means were cured by selective...
出处
《新疆医科大学学报》
CAS
2008年第12期1727-1728,1731,共3页
Journal of Xinjiang Medical University
关键词
经皮肾镜碎石术
出血
治疗
percutaneous nephrolithotomy
hemorrhage
treatment
