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经皮肾穿刺取石术并发大出血的分析及对策 被引量:108

The analysis and management of severe hemorrhage with percutaneous nephrolithotomy
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摘要 目的:分析经皮肾穿刺取石术并发大出血的病例及其应对措施。方法:总结经皮肾取石术5472例次临床资料,其中发生术中、术后大出血39例,大出血的发生率为0.71%。结果:39例出血患者需介入栓塞治疗12例,早期切肾2例,余下病例均采取保守或压迫止血成功。结论:经皮肾取石术大出血的发生率较低,出血不止或反复出血首选介入栓塞治疗。 Objective: To evaluate the safety and management of renal severe hemorrhage with percutaneous nephrolithotomy. Methods:5472 cases underwent PCNL from June 1993 to October 2004 and 39 cases found severe hemorrhage. Results: 12 cases were rendered with embolization and 2 cases with nephrectomy in the early, and the rest of 39 cases were cured conservatively. Conclusions:The rate of severe hemorrhage with PCNL is lower and the best way to cure is high select embolization.
出处 《临床泌尿外科杂志》 2006年第2期96-97,共2页 Journal of Clinical Urology
关键词 经皮肾取石术 肾出血 Percutaneous nephrolithotomy Renal hemorrhage
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  • 1[1]Srivastava A, Ahlawat R, Kumar A, et al. Management of impacted upper ureteric calculi: results of lithotripsy and percutaneous litholapaxy[J]. Br J Urol, 1992,70(3):252-257.
  • 2[2]Jackman SV, Docimo SG, Cadeddu JA, et al. The "mini-perc" technique: a less invasive alternative to percutaneous nephrolithotomy[J]. World J Urol, 1998,16(6):371-374.
  • 3[3]Lahme S, Bichler KH, Strohmaier WL, et al. Minimally invasive PCNL in patients with renal pelvic and calyceal stones[J]. Eur Urol, 2001,40(6):619-624.

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