The experience in treatment of bleeding after mini-percutaneous nephrolithotomy / 中国医师进修杂志

ABSTRACT

Objective To investigate the treatment of hemorrhage after mini-percutaneous nephrolithotomy. Method From February 2001 to May 2006, 20 clinical data of severe bleeding were retrospectively analysed in 3910 cases of mini-percutaneous nephrolithotomy in treatment of upper urinary calculi. Results In 20 cases, 19 were successfully treated, in which 2 patients can be treated with expectant treatment (transfusion and catheter compression), 16 cases were rendered with super-selective arterial embolization;1 case with nephrectomy;1 case wsa suffered from DIC and died. Conclusions The most familiar complication of mini-percutaneous nephrolithotomy is bleeding. If only be more carefully and try the right way in time, the safety of the operation must be increased.