期刊论文

Serious Complications and Treatment of Minimally Invasive Percutaneous Nephrolithotomy （mPCNL）

中文

临床泌尿外科杂志

1001-1420

2011

26

2

84-86

10.3969/j.issn.1001-1420.2011.02.002

本校为第一机构

目的:探讨微创经皮肾穿刺取石（mPCNL）术中术后出现严重并发症的发生情况及处理措施。方法:回顾性分析mPCNL治疗上尿路结石2 470例患者的临床资料。结果:2 470例患者接受mPCNL.共发生严重并发症184例,占7.45%。因穿刺失败、工作通道丢失及术中渗血等导致手术进展困难32例,占1.29%,继发出血78例,占3.16%,冲洗液外渗17例,占0.69%,炎症反应综合征48例,占1.94%,临近脏器损伤9例,占0.36%。各种并发症导致开放手术7例,肾切除5例,选择性肾动脉栓塞23例。结论:微创经皮肾穿刺取石术也有一定的并发症发生,了解并发症发生的原因和特点,加强预防和有效治疗,是保证安全的主要措施。

Objective： To investigate serious complications and treatment of minimally invasive percutaneous nephrolithotomy （mPCNL）. Methods：Clinical data of 2 470 patients who received mPCNL was analysed retrospec tively. Results：A total of 184 cases（7.45%） of severe complications occurred. Difficulties occurred in 32 cases（1. 29 %） due to puncture failure, channel loss and blood, secondary bleeding in 78 cases（3.16%）, fluid extravasation in 17 cases（0.69%）, inflammatory response syndrome in 48 cases（ 1. 94%）, near the organ injury in 9 ca...