http://jmurology．xjtu．edu．cn;zgmnwk．cug．top临床研究经皮肾镜碎石术并发肝脏损伤１１例诊治分析杨雨阳１,梁泰生１,吴刚１,张鑫１,梁健铭１,汤泊涛１,高宏君１,２,王坚１(１．广西中医药大学附属瑞康医院泌尿外科,广西南宁５３００１１;２．广西中西医结合肾脏疾病临床医学研究中心,广西南宁５３００１１)Diagnosisandtreatmentof１１casesofliverinjuryduetopercutaneousnephrolithotripsyYANGYuyang１,LIANGTaisheng１,WUGang１,ZHANGXin１,LIANGJianming１,TANGBotao１,GAOHongjun１,２,WANGJian１(１．DepartmentofUrology,RuikangHospitalAffiliatedtoGuangxiUniversityofChineseMedicine,Nanning５３００１１;２．GuangxiClinicalMedicalResearchCenterforRenalDiseasesofIntegratedChineseandWesternMedicine,Nanning５３００１１,China)ABSTRACT:ObjectiveToexplorethediagnosisandmanagementofliverinjurycausedbypercutaneousnephrolithotripsy(PCNL),soastoprovidereferenceforthediagnoiseandtreatmentofsimilarpatients．MethodsTheclinicaldataof９２６patientswhounderwentPCNLduringOct．２０１７andOct．２０２２weresearched,andthedataofthosecomplicatedwithliverinjurywereanalyzed．ResultsAtotalof１１caseswerecollected,including６malesand５females,averageage(５５．００±１３．２５)years．AllinjurieswereconfirmedwithCT．Theaveragedecreaseofhemoglobinafteroperationwas(１４．００±１１．９７)g/L．Onepatientneededbloodtransfusionduetopyonephrosisandmultipleoperations,andallpatientswerecuredanddischargedafterdelayingtheremovalofnephrostomytube[anaverageof(６．７３±１．２７)days]．ConclusionIntheabsenceofobvioussignsofperitonitisandhemodynamicstability,conservativetreatmentofliverinjurycausedbyPCNLissafeandeffective．KEYWORDS:percutaneousnephrolithotripsy;operativecomplication;liverperforation;conservativetreatment摘要:目的探讨经皮肾镜碎石术(PCNL)并发肝脏损伤的诊断及处理方法,以期为同类患者的诊治提供经验.方法检索２０１７年１０月—２０２２年１０月在广西中医药大学附属瑞康医院接受PCNL的９２６例患者,收集并分析合并肝脏损伤患者的诊疗过程.结果１１例患者并发肝脏穿刺损伤,其中男性６例,女性５例,平均年龄(５５．００±１３．２５)岁,损伤均由术...
