CAJ | 학술논문

目的评价超选择性肾动脉栓塞治疗微创经皮肾镜取石术(MPCNL)后严重出血的效果及其对肾功能的影响.方法对9例MPCNL后严重出血患者行超选择性肾动脉栓塞治疗,观察疗效.结果 7例患者第1次栓塞后治愈,2例患者第2次栓塞后获得成功,9例全都保留了患肾的大部分组织和功能,无一例发生严重并发症.结论超选择性肾动脉栓塞具有安全可靠、疗效确切的优点,并能最大限度地保留患肾功能,是一种治疗MPCNL后严重出血的安全、有效的方法.
목적 평개초선택성신동맥전새치료미창경피신경취석술(MPCNL)후엄중출혈적효과급기대신공능적영향.방법 대9례MPCNL후엄중출혈환자행초선택성신동맥전새치료,관찰료효.결과 7례환자제1차전새후치유,2례환자제2차전새후획득성공,9례전도보류료환신적대부분조직화공능,무일례발생엄중병발증.결론 초선택성신동맥전새구유안전가고、료효학절적우점,병능최대한도지보류환신공능,시일충치료MPCNL후엄중출혈적안전、유효적방법.
Objective To evaluate the outcome of super-selective embolization of renal artery for severe hemorrhage after minimally invasive percutaneous nephrohthotomy (MPCNL) and its effect on renal function.Methods Super-selective embolization of renal artery were performed in 9 patients with kidney hemorrhage followed by MPCNL.Results Seven patients were cured after the first time of embolization and 2 patients were treated successful after the second time.The main renal function was reserved.There was no serious complication after intervention.Condusiom Super-selective embolization of renal artery is reliable and effective in the diagnosis and treatment of kidney hemorrhage followed by MPCNL and in keeping main function of the kidney.It' s a safe and effective method in the treatment of severe hemorrhage after MPCNL.