【摘要】 目的研究超选择性动脉栓塞介入治疗PCNL术后肾动脉出血的方法与效果。方法51例PCNL术肾动脉出血合并肾动静脉瘘患者均采用Seldingers技术穿刺右侧股动脉,超选择插管至肾段动脉或分支出血处,以明胶海绵颗粒(条)进行栓塞,或使用PVA颗粒等栓塞,术后止血药物辅助治疗。结果超选择动脉栓塞介入治疗PCNL术后肾动脉出血51例,Hb和RBC不再下降并递增,5—7天痊愈出院,止血成功率达100%。结论超选择动脉栓塞介入治疗PCNL术后肾动脉出血是最安全有效方法,患者痛苦小,恢复快。更多还原

【Abstract】 Objective To study the methods and treatment effects on kidney hemorrhage after PCNL,by selective renal artery embolization with gelfoam and PVA particles.Methods 5 lcases with kidney hemorrhage after PCNL were treated by the interventional embolization with gelfoam and PVA particles.The catheters were inserted into the kidney artery or its branches selectively through the femoral artery using Seldinger technique.Results All patient’s hemorrhage was stopped using interventional therapy(the success rate was 100%),whose Hb and RBC increased slowly after the embolization,and were discharged in 5-7days.Conclusion Interventional therapy is safe and effective methods in treatment of kidney hemorrhage after PCNL.更多还原