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经皮肾穿刺取石术(Percutaneous Removal of Renal calculi),以下简称(PRRC)是应用腔内泌尿技术摘除肾结石的方法之一,其适应征为肾结石和上2/3输尿管结石,如掌握熟练取石成功率高,并发率低,优于开放性取石方法。但它毕竟是一介入性操作,stablas统计一组1200例PRRC较为严重的并发症约为4％,有二例因出血而死亡。随着PRRC的普及和推广,已有的并发症和新的并发症有增加趋势,本文就PRRC的并发症、预防及处理综述如下。一、严重出血肾穿刺的扩张道及取石过程中,轻微的出血是常见的,术后可能发生肾周血肿,严重的出血可以造成高血压、尿闭,甚至需急症肾切除。约1％的病人
Percutaneous Removal of Renal Calculi (PRRC) is one of the methods of removing endolithiasis by endo-urography. Its application is kidney stones and upper 2/3 ureteral calculi, High stone success rate, low incidence, superior to open stone method. But after all, it is an interventional operation, stablas statistics a group of 1200 cases of PRRC more serious complications of about 4%, two cases died of bleeding. With the popularization and promotion of PRRC, the existing complications and new complications have an increasing trend. This article reviews the complication, prevention and treatment of PRRC as follows. First, severe bleeding Renal puncture expansion tract and stone removal process, the slight bleeding is common, postoperative perirenal hematoma may occur, severe bleeding can cause high blood pressure, urinary incontinence, and even need emergency nephrectomy. About 1% of patients