摘要
目的探讨PCNL术后大出血的栓塞治疗的临床疗效。方法回顾性分析我院栓塞治疗17例PCNL术后大出血临床疗效,17例患者采用肾动脉造影(RAA)+超选择性肾动脉栓塞(SRAE)治疗。结果17例患者RAA显示单纯动脉损伤出血6例、假性动脉瘤7例、肾动静脉瘘2例、假性动脉瘤合并动静脉瘘2例。其中14例栓塞治疗后出血停止,另外假性动脉瘤合并动静脉瘘2例及动脉损伤1例SRAE后再次出血,后行二次SRAE后出血停止。结论栓塞治疗PCNL术后大出血创伤小,并发症少,是一种安全有效的治疗方法。
Objective To investigate the clinical efficacy of interventional embolization for massive hemorrhage after PCNL.Methods The clinical efficacy of 17 patients with massive hemorrhage after PCNL was retrospectively analyzed.Seventeen patients were treated with renal artery angiography(RAA)+superselective renal artery embolization(SRAE).Results 17 patients with RAA showed 6 cases of arterial injury,7 cases of pseudoaneurysm,2 cases of renal arteriovenous fistula,and 2 cases of pseudoaneurysm combined with arteriovenous fistula.Among them,14 cases were stopped after embolization,2 cases of pseudoaneurysm combined with arteriovenous fistula and 1 case of arterial injury followed by hemorrhage.After the second SRAE,the bleeding stopped.Conclusion Interventional embolization is a safe,effective,less trauma and less complications treatment for massive hemorrhage after PCNL.
作者
许国胜
陈红兵
彭晓正
周正兴
刘伟
蒋李峰
高斌
XU Guosheng;CHEN Hongbing;PENG Xiaozheng;ZHOU Zhengxing;LIU Wei;JIANG Lifeng;GAO Bin(Department of Urology,Hefei First People's Hospital,Hefei 230061,P.R.China;Department of Interventional,Hefei First People's Hospital,Hefei 230061,P.R.China;Department of Urology,Tongcheng People's Hospital,Anqing 231400,P.R.China)
出处
《医学影像学杂志》
2019年第12期2078-2081,共4页
Journal of Medical Imaging
关键词
经皮肾镜碎石取石术
出血
栓塞治疗
介入性
放射学
Percutaneous nephroscope lithoipsy
Bleeding
Embolization
Interventional
Radiology
作者简介
许国胜(1985-),男,安徽合肥人,毕业于安徽医科大学,医学硕士,主治医师,主要从事泌尿外科工作;通信作者:高斌,主任医师,E-mail:gaobin_3136@163.com。
