【摘要】 目的 研究PCNL术后肾出血的介入止血方法及效果。方法 12例PCNL术后肾出血患者均采用Seldinger法穿刺右侧股动脉，超选择插管至肾动脉或肾段动脉行DSA检查，进一步超选插管至肾动脉出血口，以明胶海绵颗粒(条)进行栓塞,必要时加PVA或弹簧圈等栓塞材料栓塞止血。结果 介入方法栓塞治疗PCNL术后肾出血12例，Hb和RBC递增，4～7天痊愈出院。结论 介入方法为PCNL术后肾出血止血安全有效的方法。

    【关键词】 经皮肾镜取石术；肾出血；肾动脉；肾动脉栓塞

    Clinical research of kidney hemorrhage after PCNL by selective renal arterial embolization

    LIU Chun-sheng,CHEN Peng,DONG Jing,et al.

    Department of Radiology,Kind Hospital,Zhuzhou 412000,China

    【Abstract】 Objective To study the methods and treatment effects on kidney hemorrhage after PCNL,using immunotherapy and chemo-embolization through the kidney artery.Methods 12 cases of kidney hemorrhage after PCNL were treated by the interventional embolization with gelfoam particles,even PVA and wreath of spring. 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,whose Hb and RBC increased slowly after operation,and out of hospital in 5～7days.Conclusion Interventional therapy is safe and effective methods in treatment of kidney hemorrhage after PCNL. ......