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目的:探讨肾动脉造影选择性肾动脉栓塞术治疗经皮肾镜碎石术后大出血的作用。方法:对8例经皮肾镜碎石术后大出血患者行肾动脉造影下选择性肾动脉栓塞介入治疗。结果:7例患者一次性栓塞治疗有效,出血停止。1例患者反复2次栓塞后仍有出血,遂行肾切除术。结论:选择性肾动脉栓塞术是经皮肾镜碎石术后大出血的可靠治疗方法。
Objective: To investigate the effect of renal artery angiography and selective renal artery embolization on postoperative hemorrhage after percutaneous nephrolithotomy. Methods: Eight patients with major bleeding after percutaneous nephrolithotomy were treated with selective renal artery embolization under renal artery angiography. Results: Seven patients were treated with one-off embolization and bleeding stopped. One patient had hemorrhage after repeated embolization twice and had nephrectomy. CONCLUSIONS: Selective renal artery embolization is a reliable treatment for major bleeding after percutaneous nephrolithotomy.