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肾部分切除术后,肾内形成假性动脉瘤并破裂出血,是比较少见而严重的并发症,尤其是当双肾功能不全或为孤立肾时,处理甚为困难。我院用超选择性肾动脉分支栓塞术治疗1例肾部分切除术后假性动脉瘤破裂并反复严重出血、同时存在肾功能不全的患者,取得成功。现报道如下。患者,男性,54岁。因两腰隐痛伴血尿20年,KUB示双肾多发巨大结石,IVP示双肾显影不佳,于1988年5月24日在外院作右肾部分切除(切除下极约1/5)取石术。取出结石1000余枚,最大6×4
After partial nephrectomy, the formation of pseudoaneurysm and rupture of the hemorrhage in the kidney is a relatively rare and serious complication, especially when renal insufficiency or isolated kidney is treated. Superselective renal artery embolization in our hospital in 1 case of partial nephrectomy pseudoaneurysm rupture and repeated severe bleeding, while the existence of renal insufficiency in patients with success. Report as follows now. Patient, male, 54 years old. Due to two waist pain with hematuria 20 years, KUB showed multiple renal stones, IVP showed poor development of both kidneys, on May 24, 1988 at the outer court for partial removal of the right kidney (lower extremity about 1/5) lithotomy . Remove more than 1000 stones, the largest 6 × 4