CAJ | 학술논문

目的：探讨脾肾联合介入栓塞治疗脾肾损伤出血的临床应用值。方法自2010年1月以来，我院收治外伤性脾肾损伤出血患者24例，行血管造影后，采用明胶海绵对出血动脉行超选择性栓塞治疗。结果24例患者全部一次性栓塞成功，均得以存活，并发症轻微，复查见栓塞止血效果良好。结论对有明确适应证患者实施脾肾联合介入栓塞治疗脾肾损伤出血疗效确切，安全有效，能最大限度的降低脏器功能损害。
목적：탐토비신연합개입전새치료비신손상출혈적림상응용치。방법자2010년1월이래，아원수치외상성비신손상출혈환자24례，행혈관조영후，채용명효해면대출혈동맥행초선택성전새치료。결과24례환자전부일차성전새성공，균득이존활，병발증경미，복사견전새지혈효과량호。결론대유명학괄응증환자실시비신연합개입전새치료비신손상출혈료효학절，안전유효，능최대한도적강저장기공능손해。
Objective To investigate the clinical application of interventional combination embolization of spleen and kidney in treating traumatic splenic and renal hemorrhage. Methods Since Jan. 2010 to early 2014, a total of 24 patients with traumatic splenic and renal hemorrhage were admitted to authors’ hospital. After angiography, super-selective embolization with Gelfoam particles was employed to occlude the bleeding arteries. The results were analyzed. Results Technical success with single procedure was achieved in all the 24 patients. All 24 patients survived the trauma. The complication was mild. Follow-up examination showed that the embolization results were perfect. Conclusion For the treatment of traumatic splenic and renal hemorrhage, interventional combination embolization of spleen and kidney is safe and effective with reliable clinical results, and this technique can reduce visceral function damage to the greatest possible advantage.