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[1]任胜强,梁宇,刘星明,等.经皮肾镜取石并发大出血的临床治疗(附11例报告)[J].医学研究与战创伤救治(原医学研究生学报),2010,12(05):410-411.
　REN Sheng-qiang,LIANG Yu,LIU Xing-ming,et al.Clinical treatment of severe kidney hemorrhage followed by percutaneous nephrolithotomy: report of 11 cases[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(05):410-411.
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经皮肾镜取石并发大出血的临床治疗(附11例报告)()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年05期
页码:
410-411
栏目:
出版日期:
2010-09-20

文章信息/Info

Title:
Clinical treatment of severe kidney hemorrhage followed by percutaneous nephrolithotomy: report of 11 cases
文章编号:
1672-271X(2010)05-0410-02
作者:
任胜强; 梁宇; 刘星明; 桑乾宏; 徐立奇; 王强辉; 沈乾; 邬旭明; 蔡雅富
315040 浙江宁波，解放军113医院泌尿外科
Author(s):
REN Sheng-qiang;  LIANG Yu;  LIU Xing-ming;  SANG Qian-hong; XU Li-qi;  WANG Qiang-hui; SHEN Qian; WU Xu-ming; CAI Ya-fu.
Department of Urology, 113 Hospital of PLA,Ningbo, Zhejiang 315040,China
关键词:
经皮肾镜取石;  肾出血; 动脉栓塞术; 开放手术
Keywords:
PCNL;  kidney hemorrhage;  arterial embolization;  opening operation
分类号:
R692.4
DOI:
-
文献标志码:
A
摘要:
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。
Abstract:
Objective To explore the clinical treatment of severe hemorrhage followed by percutaneous nephrolithotomy (PCNL).Methods Clinical data of 1150 cases of PCNL for kidney calculi from Mar 2000 to Jun 2009 were selected.11 cases complicated severe kidney hemorrhage followed by PCNL.Opening operation was performed in 2 cases and selective renal arterial embolization was performed in 9 cases.Results Operations in 11 cases were successful.There was no complicating disease after treatment.Conclusion Selective kidney arterial embolization is a reliable and effective operation in the treatment of severe hemorrhage followed by PCNL, which can keep main function of kidney.The opening operation also is an effective treatment for some special cases.

参考文献/References:

[1]李 逊.上尿路结石的现代治疗[J].广东医学，2007，28(12):1381-1382.
[2]章益峰，郎根强，褚 健，等.联合应用输尿管镜及经皮肾镜技术Nd:YAG钕激光治疗输尿管上段结石[J].东南国防医药,2007,9(3):200-201.
[3]Netto NR Jr,Ikonomidis O,Ikavi O,et al.Comparative study of percutaneous access for staghorn calculi[J].J Urol,2005,65(4):723-729.
[4]Marshall L, Stoller J, Stuar WJ, et al.Estimated blood loss and transfusion rates associated with percutaneous nephrolithotomy [J].J Urol,2004,152(13):1977-1981.
[5]袁 坚，吴开俊.经皮肾镜术并发大出血16例[J].中华泌尿外科杂志,1995,16(9):530-531.
[6]Papps P,Leonardou P,Papadoukakis S,et al.Urgent super-selective segmental renal artery embolization in the treatment of life threatening renal hemorrhage[J].Urol Int,2006,77(1):34-41.
[7]Lahme S, Bichler KH, Strohmarie WH, et al.Minimally invasive PCNL in patients with renal pelvic and calceal stone[J].Eur Urol,2007,40(5):619-624.
[8]Vignali C.Vascular injures after percutaneous nenal procedures tr- eatment by transcatheter embolization[J].Eur Radiol,2004,14(2):723-729.
[9]任永才，许维亮，马文尊，等.经皮肾镜术后并发肾动脉出血的介入治疗[J].医学影像学杂志，2008，18(5):518-520.

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更新日期/Last Update: 2010-09-20