Analysis on emergency treatment of bleeding complications in percutaneous nephrolithotomy (a report of 27 cases)
YUAN Chaoying
HUANG Suxi
YUAN Jie
YAN Dong
HAI Lati· Abudulijiang
XIAO Huaping
Abstract：Objective To analyze the emergency treatment effect of bleeding complications in percutaneous nephrolithotomy. Methods Clinical data of 3286 patients with ureteral stones treated by percutaneous nephrolithotomy were retrospectively analyzed. Results A total of 27 patients (0.82%) complicated with bleeding among 3286 patients.The major reason of bleeding complications was unideal puncturing tract, 17 cases were included (62.96%).13 patients bled during the operation, 14 patients happened postopera-tively, and 3 patients were repeatedly delayed hemorrhage.7 patients were treated with blood transfusion, accounting for 25.93% (7/27).No percutaneous nephrolithotomy conversion to open operation and nephretomy happened.24 patients with bleeding complication healed through local oppression, blood transfusion, anti-inflammatory, diuresis, hemostasis, and absolute rest in bed, while the other three patients with super-selective renal arterial embolization.Conclusions Bleeding complication in percutaneous nephrolithotomy is rare but difficult to predict, which can be life-threatening and need emergency treatment, the accurate judgment of the cause for bleeding and mastery of the operation methods for prevention can significantly decrease its risk.Renal delayed hemorrhage should be considered first in repeated postoperative bleeding, and emergent super-selective renal artery embolization is the safe and effective solution.
Keywords：percutaneous nephrolithotomybleeding complicationsemergency treatment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 261-263 )