經(jīng)皮腎鏡碎石術(shù)并發(fā)肝臟損傷11例診治分析

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（1.廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院泌尿外科，廣西南寧 530011；2.廣西中西醫(yī)結(jié)合腎臟疾病臨床醫(yī)學(xué)研究中心，廣西南寧 530011）

Diagnosis and treatment of 11 cases of liver injury due to percutaneous nephrolithotripsy

YANG Yuyang1，LIANG Taisheng1，WU Gang1，ZHANG Xin1，LIANG Jianming1，TANG Botao1，GAO Hongjun1，2，WANG Jian1

（1.Department of Urology，Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine，Nanning 530011；2.Guangxi Clinical Medical Research Center for Renal Diseases of Integrated Chinese and Western Medicine，Nanning 530011，China）

ABSTRACT：

Objective

To explore the diagnosis and management of liver injury caused by percutaneous nephrolithotripsy （PCNL），so as to provide reference for the diagnoise and treatment of similar patients.Methods The clinical data of 926 patients who underwent PCNL during Oct.2017 and Oct.2022 were searched，and the data of those complicated with liver injury were analyzed.Results A total of 11 cases were collected，including 6 males and 5 females，average age （55.00±13.25）years.All injuries were confirmed with CT.The average decrease of hemoglobin after operation was （14.00±11.97）g/L.One patient needed blood transfusion due to pyonephrosis and multiple operations，and all patients were cured and discharged after delaying the removal of nephrostomy tube ［an average of （6.73±1.27）days］.Conclusion In the absence of obvious signs of peritonitis and hemodynamic stability，conservative treatment of liver injury caused by PCNL is safe and effective.

KEY WORDS：percutaneous nephrolithotripsy；operative complication；liver perforation；conservative treatment

摘要：目的 探討經(jīng)皮腎鏡碎石術(shù)（PCNL）

并發(fā)肝臟損傷的診斷及處理方法，以期為同類患者的診治提供經(jīng)驗。（剩余6053字）