输尿管软镜激光碎石术诱发包膜下血肿的并发症分析

Analysis of the Complications of Subcapsular Hematoma Induced by Flexible Ureteroscopic Laser Lithotripsy

摘要: 目的：探讨经尿道输尿管软镜激光碎石术，治疗上尿路结石诱发的包膜下血肿的发生，发展，治疗，处理措施及恢复情况。方法：3年来，作者对168例行经尿道输尿管软镜钬激光碎石治疗肾，输尿管上段结石的患者，并发症的病因进行分析，治疗及处理措施。结果：168例患者中，发生肾包膜下血肿3例，肾包膜下血肿发生率为1.78%。2例经过保守治疗，1例行肾穿刺血肿引流术。经积极治疗后，患者均康复出院。结论：输尿管软镜治疗上尿路结石的并发症是不可避免的，但是并发症的发生，需及时，有效的进行干预，才能避免出现严重的后果。

Abstract: Objective: To explore the occurrence, development, treatment, management measures and recovery of subcapsular hematoma induced by upper urinary tract calculi treated with transurethral flexible ureteroscopic holmium laser lithotripsy. Methods: Over the past three years, the author analyzed the causes, treatment and management measures of complications in 168 patients with upper renal and ureteral calculi treated with transurethral flexible ureteroscopic holmium laser lithotripsy. Results: Among the 168 patients, 3 cases of subcapsular hematoma occurred, with an incidence rate of 1.78%. Two cases were treated conservatively, and one case underwent renal puncture and hematoma drainage. After active treatment, all patients were discharged in good condition. Conclusion: Complications of flexible ureteroscopy for upper urinary tract calculi are inevitable, but timely and effective intervention is necessary to avoid serious consequences.