摘要
目的探讨经皮肾镜取石术后大出血的原因,总结超选择性肾动脉栓塞治疗的经验。方法回顾四川大学华西医院2007年11月～2012年11月所有行经皮肾镜取石术的1963例患者中,9例术后大出血患者保守治疗无效后行肾动脉数字减影动脉造影检查,均行超选择性肾动脉栓塞治疗。结果造影发现肾动脉假性动脉瘤8例,动静脉瘘1例,均一次性栓塞成功,平均随访6个月,无新发出血,患者肾功能良好,无严重并发症发生。结论超选择性肾动脉栓塞止血可作为经皮肾镜取石术后大出血治疗安全可靠的首选方法,能有效保护肾功。
Objective To analyze the causes of severe hemorrhage after percutaneous nephrolithotomy（PCNL）,and to summarize the experiences of superselective renal arterial embolization.Methods During the period from November 2007 to November 2012 in West China Hospital of Sichuan University,PCNL was carried out in 1963 patients,digital subtractionarteriography was performed in 9 cases of severe hemorrhage after PCNL who failed to respond to conservative managements,superselective renal arterial embolization was performed in all of them.Results Arteriography showed 8 cases of renal arterial false aneurysm and 1 cases of arteriovenous fistula.All cases received interventional embolization with successful results.Follow-up 6 months on the average found no rehaemorrhagia,no renal disfunction and severe complications occurred.Conclusion Superselective renal arterial embolization could be the preferred method in the treatment of severe hemorrhage after PCNL which is safe and reliable,and effectively preserve the renal function.
出处
《四川医学》
CAS
2013年第7期918-919,共2页
Sichuan Medical Journal
关键词
经皮肾镜取石术
出血
动脉造影
超选择性栓塞
percutaneous nephrolithotomy
hemorrhage
arteriography
superselective embolization
