[1]刘柏隆,杨飞,湛海伦,等.经皮肾镜取石术后大出血介入治疗的时机选择[J].中华腔镜泌尿外科杂志(电子版),2012,(03):190-194.
 LIU Bo-long,YANG Fei,ZHAN Hai-lun,et al.Hemorrhage after PCNL:The opportunity of interventional treatment by segmental renal arterial embolization[J].,2012,(03):190-194.
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经皮肾镜取石术后大出血介入治疗的时机选择()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2012年03期
页码:
190-194
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Hemorrhage after PCNL:The opportunity of interventional treatment by segmental renal arterial embolization
作者:
刘柏隆杨飞湛海伦卢扬柏黄洁夫朱康顺许长谋周祥福
中山大学附属第三医院泌尿外科,广州,510630,中山大学附属第三医院放射科,广州,510630
Author(s):
LIU Bo-longYANG FeiZHAN Hai-lunLU Yang-baiHUANG Jie-fuZHU Kang-shunXU Chang-mouZHOU Xiang-fu
关键词:
经皮肾镜取石术出血栓塞
摘要:
目的 探讨经皮肾镜取石术后大出血的原因及介入栓塞治疗的时机.方法 回顾性分析2005年1月至2010年10月采用经皮肾镜取石术(PCNL)治疗上尿路结石1287例,术后出现持续性或间歇性血尿患者8例,外院PCNL术后出血转院5例.均为男性.年龄27~79岁,平均45.1岁.13例患者均行介入治疗.对介入治疗时机及原因进行分析.结果 13例患者中,肾动脉假性动脉瘤3例,肾动静脉瘘2例,肾动脉假性动脉瘤合并肾动静脉瘘者8例.13例患者栓塞15 min后,复查肾动脉造影显示病变均完全栓塞.术后3 d肉眼血尿均消失.13例患者栓塞前后肾功能无明显变化,无严重并发症发生.随访4~60个月,平均29个月,患者血肌酐、血红蛋白及红细胞压积均正常,无再发出血,1例患者49个月后右肾结石复发.结论 经皮肾镜取石术后出血的主要原因为术中肾血管损伤致假性动脉瘤和(或)动静脉瘘.保守治疗无效者,及时行介入栓塞治疗,效果满意.

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更新日期/Last Update: 1900-01-01