CAJ | 학술논문

　　目的?探讨标准通道经皮肾镜取石（PCNL）术后迟发性出血的原因及治疗效果。方法?回顾分析30例PCNL术后迟发性出血患者的临床资料并分析出血原因。结果?17例出血患者通过保守治疗治愈，13例保守治疗无效，行超选择性肾动脉栓塞后治愈。结论?标准通道经皮肾镜取石术后迟发性出血大多数可通过保守治疗治愈，超选择性肾动脉栓塞是保守治疗无效的有效处理手段。
　　목적?탐토표준통도경피신경취석（PCNL）술후지발성출혈적원인급치료효과。방법?회고분석30례PCNL술후지발성출혈환자적림상자료병분석출혈원인。결과?17례출혈환자통과보수치료치유，13례보수치료무효，행초선택성신동맥전새후치유。결론?표준통도경피신경취석술후지발성출혈대다수가통과보수치료치유，초선택성신동맥전새시보수치료무효적유효처리수단。
Objective?To?investigate?the?cause?of?delayed?hemorrhage?and?the?efficacy?of?treatment?after?standard?tract?percutaneous?nephrolithotomy(PCNL).?Methods?Analysis?of?the?clinical?data?of?30?patients?with?delayed?hemorrhage?after?PCNL?and?the?cause?of?bleeding?retrospectively.?Results?Among?the?30?cases,?17?cases?were?cured?by?conservative?treatment.?13?cases?were?invalid,?and?cured?by?super?selective?renal?artery?embolization.?Conclusion?Most?of?the?delayed?hemorrhage?after?standard?tract?PCNL?can?be?cured?by?conservative?treatment.?If?it?is?invalid,?super?selective?renal?artery?embolization?is?an?effective?method.