Objective To assess the value of super‐selective renal arterial embolization for severe renal hemorrhage fol‐lowed by percutaneous nephrolithotomy .Methods SRAE was performed in 60 patients with severe renal hemorrhage who had failed to respond the conservative management .The clinical data ,the way of embolization ,the medication ,and the follow‐up findings were retrospectively analyzed .Results We retrospectivlely analyzed the clinical data of 60 patients with severe renal bleeding ,who underwent SSIE postopertine treatment in our lrospital from may 2010 to september 2013 .The technical successful rate with single session was 94 .8% (55/58) .Gross hematuria disappeared with in 1 ~ 4 days after the treatment .Two patients developed shock after renal embolization and had to receive surgery after the shock was con‐trolled .Three patients had a recurrence of hematuria and the blood urine subsided after SRAE was employed again .A fol‐low‐up with a mean period of 37.4 months was carried out in 32 patients and the follow‐up checkups showed that the renal function was well preserved in all patients .Conclusion Selective renal arterial angiography and embolization is reliable and effective in the diagnosis and treatment of kidney hemorrhage followed by PCNL and in keeping mainfunction of the kid‐ney .%目的：探讨超选择肾动脉栓塞术治疗经皮肾镜取石术（PCNL）后严重肾出血的临床应用价值。方法回顾分析2010年5月～2013年9月应用 SSIE 治疗 MPCNL 术后严重肾出血60例患者的临床资料。采用 Seldinger 技术，经肾动脉造影后，行超选择性插管至出血的肾动脉分支，以明胶海绵、PVA 颗粒和弹簧钢圈等栓塞剂行栓塞治疗。结果本组患者治疗后效果满意，无严重并发症发生。一次栓塞成功55例，成功率为94．8％（55／58）。术后第1～4天肉眼血尿消失。2例栓塞后再发出血经第2次栓塞出血停止。1例栓塞后仍继续出血，经第3次栓塞出血停止。术后随访32例，平均37．4个月，患肾功能得到了最大程度的保护。结论选择性肾动脉栓塞术创伤小，止血效果好，能最大限度保留出血肾脏功能。可作为经皮肾镜取石术后肾出血的有效、安全的治疗方法。
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