超选择性肾动脉栓塞治疗微创经皮肾镜取石术后严重出血

目的 评价超选择性肾动脉栓塞治疗微创经皮肾镜取石术（MPCNL）后严重出血的效果及其对肾功能的影响.方法 对9例MPCNL后严重出血患者行超选择性肾动脉栓塞治疗,观察疗效.结果 7例患者第1次栓塞后治愈,2例患者第2次栓塞后获得成功,9例全都保留了患肾的大部分组织和功能,无一例发生严重并发症.结论 超选择性肾动脉栓塞具有安全可靠、疗效确切的优点,并能最大限度地保留患肾功能,是一种治疗MPCNL后严重出血的安全、有效的方法.

Super-selective embolization of renal artery for severe hemorrhage after minimally invasive percutaneous nephrolithotomy

Objective To evaluate the outcome of super-selective embolization of renal artery for severe hemorrhage after minimally invasive percutaneous nephrohthotomy （MPCNL） and its effect on renal function.Methods Super-selective embolization of renal artery were performed in 9 patients with kidney hemorrhage followed by MPCNL.Results Seven patients were cured after the first time of embolization and 2 patients were treated successful after the second time.The main renal function was reserved.There was no serious complication after intervention.Condusiom Super-selective embolization of renal artery is reliable and effective in the diagnosis and treatment of kidney hemorrhage followed by MPCNL and in keeping main function of the kidney.It＇ s a safe and effective method in the treatment of severe hemorrhage after MPCNL.