CAJ | 학술논문

目的：探讨医源性肾出血血管造影（DSA）表现形式与选择介入治疗方法的临床价值。方法53例患者分别因肾造瘘取石，肾穿刺活检及肾动脉狭窄介入治疗发生肾损伤大出血病人。采用选择性肾动脉造影，对造影资料进行仔细分析和分型，选择相应栓塞治疗方法。结果53例患者中52例发现出血征象，采用超选择插管进行栓塞治疗，全部获得成功，均未发生严重并发症。结论根据医源性肾出血的影像学表现形式，选择相应栓塞治疗方法，有利于提高止血效果，能最大限度保留肾功，减少并发症。
목적：탐토의원성신출혈혈관조영（DSA）표현형식여선택개입치료방법적림상개치。방법53례환자분별인신조루취석，신천자활검급신동맥협착개입치료발생신손상대출혈병인。채용선택성신동맥조영，대조영자료진행자세분석화분형，선택상응전새치료방법。결과53례환자중52례발현출혈정상，채용초선택삽관진행전새치료，전부획득성공，균미발생엄중병발증。결론근거의원성신출혈적영상학표현형식，선택상응전새치료방법，유리우제고지혈효과，능최대한도보류신공，감소병발증。
Objective To assess the value of digital subtraction angiography(DSA)and interventional treatment for iatrogenic renal hemorrhage.Methods Selective renal DSA of 53 patients with renal hemorrhage resulting from percutaneous nephrolithotomy, percutaneous renal biopsy and interventional therapy of renal artery stenosis was analyzed.Results Active bleeding was identified on DSA in 52/53 patients and controlled successfully by super-selective catheterization and embolization without severe complications. Conclusion Selective DSA and embolization can induce hemostasis,preserve renal function and reduce complications.