摘要
目的：评价超选择性肾动脉栓塞术治疗急性肾脏出血的临床价值。方法：回顾性分析15例急性肾脏出血患者的临床资料，包括肾外伤5例，医源性肾损伤3例，肾动静脉畸形7例，所有病例应用弹簧圈（14例）或onyx胶（1例）对其进行超选择性栓塞治疗，随访6～18月（平均12月），观察术后疗效、并发症及复发情况。结果：所有患者均成功进行了超选择性肾动脉栓塞术，其中14例患者术后出血停止，1例患者术后当日血尿症状有所缓解，术后第一日再发血尿加重，失血性休克，急诊行肾脏切除术。所有患者未观察到明显的肾功损害，所有患者随访期间无血尿复发及其它中远期并发症。结论：超选择性肾动脉栓塞术是治疗急性肾脏出血安全、有效的方法。
Abstract
Objective: To evaluate the clinical value of super-selective arterial embolization in treating acute renal hemorrhage. Methods: All cases underwent angiographic examination and the diagnosis was confirmed. Super-selective embolization was performed in 15 patients with acute renal hemorrhage by renal artery injury(n=5), iatrogenic renal artery injury(n=3), and renal arterioveous malformation(n=7). Average follow-up period was 12 months(range 6～18 months). The therapeutic effect, complication and bleeding recurrence of super-selective embolization in the treatment of acute renal hemorrhage were evaluated. Results: The super-selective arterial embolization was successfully accomplished in all the 15 patients. Immediate hemostasis was achieved in 14 patients after super-selective embolization. One patient had a kidney excision because of a recurrent postoperative hemorrhage. During the clinical follow-up period, no severe complication or recurrent hemorrhage was observed. Conclusion: Super-selective renal artery embolization is a safe and effective treatment with few complications for acute kidney bleeding.
关键词
肾疾病 /
出血 /
栓塞 /
治疗性
Key words
Kidney diseases /
Hemorrhage /
Embolization /
therapeutic
李 城;王 峰;纪东华;张 涛;刘永晟;李 枫;王凝芳;李 克.
超选择性肾动脉栓塞术在急性肾脏出血中的应用[J]. 中国临床医学影像杂志. 2013, 24(10): 712-714
LI Cheng;WANG Feng;JI Dong-hua;ZHANG Tao;LIU Yong-sheng;LI Feng;WANG Ning-fang;LI Ke.
The application of super-selective renal arterial embolization in acute renal hemorrhage[J]. Journal of China Clinic Medical Imaging. 2013, 24(10): 712-714
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