介入放射学杂志
介入放射學雜誌
개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2010年
3期
188-190
,共3页
罗剑渊%王家平%李迎春%童玉云%杨青%王雪刚%李琳%陈富坤
囉劍淵%王傢平%李迎春%童玉雲%楊青%王雪剛%李琳%陳富坤
라검연%왕가평%리영춘%동옥운%양청%왕설강%리림%진부곤
肾出血%超选择插管%超选择性肾动脉栓塞
腎齣血%超選擇插管%超選擇性腎動脈栓塞
신출혈%초선택삽관%초선택성신동맥전새
renal hemorrhage%super-selective catheterization%super-selective renal artery embolization
目的 探讨超选择性肾动脉栓寨术治疗经保守治疗无效的严重肾出血的临床价值.方法 回顾性分析111例采用超选择性肾动脉栓塞术治疗的严重肾出血患者的临床资料、栓塞方式、治疗和随访结果.结果 本组患者治疗后效果满意,无严重并发症发生.一次栓塞成功106例(成功率为95.5%),术后第1~4 d肉眼血尿消失.2例栓塞后休克得以控制,顺利实施了外科手术.3例栓塞后再发出血,经第2次栓塞血止.术后随访92例,平均37.4个月,患肾功能得到了最大程度的保护.结论 超选择性肾动脉栓塞术是严重肾出血的一种安全有效的治疗方法,可同时保护健康的肾实质和肾功能.
目的 探討超選擇性腎動脈栓寨術治療經保守治療無效的嚴重腎齣血的臨床價值.方法 迴顧性分析111例採用超選擇性腎動脈栓塞術治療的嚴重腎齣血患者的臨床資料、栓塞方式、治療和隨訪結果.結果 本組患者治療後效果滿意,無嚴重併髮癥髮生.一次栓塞成功106例(成功率為95.5%),術後第1~4 d肉眼血尿消失.2例栓塞後休剋得以控製,順利實施瞭外科手術.3例栓塞後再髮齣血,經第2次栓塞血止.術後隨訪92例,平均37.4箇月,患腎功能得到瞭最大程度的保護.結論 超選擇性腎動脈栓塞術是嚴重腎齣血的一種安全有效的治療方法,可同時保護健康的腎實質和腎功能.
목적 탐토초선택성신동맥전채술치료경보수치료무효적엄중신출혈적림상개치.방법 회고성분석111례채용초선택성신동맥전새술치료적엄중신출혈환자적림상자료、전새방식、치료화수방결과.결과 본조환자치료후효과만의,무엄중병발증발생.일차전새성공106례(성공솔위95.5%),술후제1~4 d육안혈뇨소실.2례전새후휴극득이공제,순리실시료외과수술.3례전새후재발출혈,경제2차전새혈지.술후수방92례,평균37.4개월,환신공능득도료최대정도적보호.결론 초선택성신동맥전새술시엄중신출혈적일충안전유효적치료방법,가동시보호건강적신실질화신공능.
Objective To evaluate super-selective renal arterial embolization(SRAE)in treating severe renal hemorrhage when conservative treatment had failed. Methods SRAE was performed in 111 patients with severe renal hemorrhage who had failed to respond the conservative management.The clinical data,the way of embolization,the medication and the follow-up findings were retrospectively analyzed.Results Excellent results were obtained in all patients after SRAE and no serious complications occurred.The technical successful rate with single session was 95.5%(106/111).Gross hematuria disappeared within 1-4 days after the treatment.Two patients developed shock after renal embolization and had to receive surgery after the shock was controlled.Three patients had a recurrence of hematuria,the blood urine subsided after SRAE was employed again.A follow-up with a mean period of 37.4 months was carried out in 92 patients,and the follow-up checkups showed that the renal function was well preserved in all patients.Conclusion Super-selective renal artery catheterization and embolization is a safe and effective treatment for severe renal hemorrhage,it can maximally preserve the healthy renal parenchyma as well as the renal function.Therefore,this technique should be regarded as the treatment of first choice for patients with severe renal hemorrhage.