经皮肾镜碎石术并发肝脏损伤11例诊治分析

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（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）

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。（剩余6053字）