经皮肾镜碎石术后迟发性出血的原因与治疗分析

摘要

目的：探析经皮肾镜碎石术后发生迟发性出血的原因与治疗方法。方法：选择2012年9月-2013年9月笔者所在医院收治的经皮肾镜碎石术后迟发性出血患者31例为研究对象，对其临床治疗资料进行回顾性分析。结果：本组的31例患者中，5例为动静脉瘘，占16.13%，26例为假性动脉瘤，占83.87%；所有患者均经介入栓塞治疗，临床症状均消失，且经实验室检查，肾功能和血常规恢复正常，均康复出院。结论：经皮肾镜碎石术后，动静脉瘘和假性动脉瘤是导致迟发性出血的主要原因，经介入栓塞治疗，可以获得较好的疗效，具有一定的推广价值。%Objective:To explore the causes and treatment of delayed bleeding after percutaneous nephrolithotomy occur.Method:31 patients with percutaneous nephrolithotomy lithotripsy delayed bleeding in our hospital from September 2012 to September 2013 were selected as the research objects.Their clinical data were retrospectively analyzed.Result:Among the 31 patients in this group,5 cases were with arteriovenous fistula,accounting for 16.13%,26 cases were with false aneurysm,accounting for 83.87%.After embolotherapy,all patients’ clinical symptoms disappeared and laboratory examination showed that renal function and blood routine return to normal.They were discharged from hospital upon recovery.Conclusion:After percutaneous nephrolithotomy lithotripsy, arteriovenous fistula and pseudoaneurysm are the main causes of delayed bleeding.Embolotherapy can get a good effect,it has some promotional value.