CAJ | 학술논문

目的：探讨介入栓塞治疗在经皮肾镜钬激光碎石、取石术后并发肾出血的临床应用价值。方法：收集PCNL后肾出血患者资料15例，采用Seldinger穿刺技术，先行肾动脉造影明确出血部位，再选用弹簧圈.明胶海绵颗粒或条.PVA行超选择性靶血管栓塞，术后观察止血效果，肾功能变化。结果：15例中14例1次性栓塞成功，未见出血复发及严重并发症，术后2周复查S C r平均73.5umol/L；BUN平均4.78mmol/L肾功能均正常，1例介入术前患者基本情况差，术后12小时死于DIC。结论：经皮肾镜钬激光碎石、取石术后肾出血积极采用介入栓塞治疗是安全有效的，不仅能到达准确迅速的止血目的，而且能最大限度保护肾功能，已被临床首选处理医源性肾出血的治疗手段。
목적：탐토개입전새치료재경피신경화격광쇄석、취석술후병발신출혈적림상응용개치。방법：수집PCNL후신출혈환자자료15례，채용Seldinger천자기술，선행신동맥조영명학출혈부위，재선용탄황권.명효해면과립혹조.PVA행초선택성파혈관전새，술후관찰지혈효과，신공능변화。결과：15례중14례1차성전새성공，미견출혈복발급엄중병발증，술후2주복사S C r평균73.5umol/L；BUN평균4.78mmol/L신공능균정상，1례개입술전환자기본정황차，술후12소시사우DIC。결론：경피신경화격광쇄석、취석술후신출혈적겁채용개입전새치료시안전유효적，불부능도체준학신속적지혈목적，이차능최대한도보호신공능，이피림상수선처리의원성신출혈적치료수단。
ObjectiveTo investigate the interventional embolization during percutaneous nephrolithotomy with holmium laser lithotripsy, stone complicated with postoperative renal hemorrhage clinical application value.MethodsCollect the PCNL data of 15 cases of renal hemorrhage, using Seldinger puncture technique, first renal artery angiography bleeding site, then choose the spring ring.Results 15 cases in 14 cases 1 times of embolization success, average 4.78mmol/L and renal function were normal, 1 cases of the basic situation of interventional preoperative patients, 12 hours after the operation in DIC.ConclusionsThe active use of interventional embolization has been iatrogenic renal hemorrhage clinical treatment preferred treatment.