CAJ | 학술논문

目的探讨等离子柱状电极电凝止血在经皮肾镜取石术(PCNL)中通道止血的方法及临床价值.方法回顾性分析2009年8月至2012年9月54例经皮肾镜取石术中动脉出血应用等离子柱状电极电凝止血的临床资料.结果 54例患者均应用等离子柱状电极电凝止血成功,均未出现术后早期或迟发严重出血,无中转开放手术或行高选择性肾动脉栓塞术.20例术后24h出现一过性肉眼血尿,未影响生命体征.6例术后5d出院,其余均术后7d出院.结论等离子柱状电极电凝止血能有效应用于PCNL穿刺通道动脉止血,效果确切,该方法简便易行,有利于PCNL手术的推广,是一种有效、安全的止血方法.
목적 탐토등리자주상전겁전응지혈재경피신경취석술(PCNL)중통도지혈적방법급림상개치.방법 회고성분석2009년8월지2012년9월54례경피신경취석술중동맥출혈응용등리자주상전겁전응지혈적림상자료.결과 54례환자균응용등리자주상전겁전응지혈성공,균미출현술후조기혹지발엄중출혈,무중전개방수술혹행고선택성신동맥전새술.20례술후24h출현일과성육안혈뇨,미영향생명체정.6례술후5d출원,기여균술후7d출원.결론 등리자주상전겁전응지혈능유효응용우PCNL천자통도동맥지혈,효과학절,해방법간편역행,유리우PCNL수술적추엄,시일충유효、안전적지혈방법.
Objective To investigate the efficacy of bipolar band-form electrode on hemostasis in percutaneous nephrolithotomy(PCNL).Methods From August 2009 to September 2012,the clinical data of 54 cases,who were given bipolar plas makinetic technique with band-form electrode for hemostasis in percutaneous nephrolithotomy because of arterial hemobilia.Results Successful hemostasis was achieved in all of the 54 patients,indwelling ureteral stents and nephrostomy tubes,no severe postoperative hemorrhage,20 cases showed mild hematuria without clot in urine and recovered spontaneously in 24 hours.Six cases were discharged 5 days after operation,the other cases were discharged 7 days after operation,without turning to open surgery or performing nephrectomy emergently,or using digital substraction angiography (DSA) highly selective renal artery embolization.Conclusions The technique of using active cauterization of renal tract in percutaneous nephrolithotomy with plas makinetic superpulse generator electrode is effective and safe.It is safe,feasible and effective for hemostasis,and conductive to popularizing PCNL.