CAJ | 학술논문

目的探讨超选择性肾动脉栓塞治疗经皮肾镜取石(Percutaneous nephrostolithotomy.PC-NL)术后肾脏大出血的应用价值.方法采用超选择性肾动脉栓塞术治疗5例PCNL术后肾脏大出血患者,所有病例在栓塞前都经肾动脉造影证实诊断,超选择插管至肾段动脉或分支出血处,以明胶海绵颗粒条和金属钢圈为材料进行栓塞.结果所有患者术后临床症状如肉眼血尿很快缓解,止血成功率达100%.术后平均随访11个月,无再发肾脏出血,血压及肾功能均正常.结论超选择性肾动脉栓塞术微创、疗效好、并发症少,能最大限度地保留肾功能,是冶疗PCNL术后大出血最安全有效的方法.
목적 탐토초선택성신동맥전새치료경피신경취석(Percutaneous nephrostolithotomy.PC-NL)술후신장대출혈적응용개치.방법 채용초선택성신동맥전새술치료5례PCNL술후신장대출혈환자,소유병례재전새전도경신동맥조영증실진단,초선택삽관지신단동맥혹분지출혈처,이명효해면과립조화금속강권위재료진행전새.결과 소유환자술후림상증상여육안혈뇨흔쾌완해,지혈성공솔체100%.술후평균수방11개월,무재발신장출혈,혈압급신공능균정상.결론 초선택성신동맥전새술미창、료효호、병발증소,능최대한도지보류신공능,시야료PCNL술후대출혈최안전유효적방법.
Objectives To discuss the application of transcatbeter supersclective arterial embolization on treatment of renal hemorrhage after PCNL. Methods 5 patients with renal hemorrhage after PCNL were treated by superselective renal artery embolization . All patients underwent angiographic examinations and the definite diagnosis before the embolization. The catheters were inserted ,into the kidney artery or its branches selectively through the for-mal artery. Materials used in the embolizatian were gelfoam and steel coils. Results Clinical symptoms such as macroscopic hemsturia subsided quickly after operation. With an average follow-up of 11 months, no hemorrhage reoccurred in renal, the blood pressure and the renal function were normal in all patients. Conclusions Superse-lective renal arterial embolization has advantages of less invasive, less complications, and good haemostatic efficacy, with maximal preservation of renal function for treatment of renal hemorrhage after PCNL.