CAJ | 학술논문

目的：评价肾动脉置管溶栓治疗急性肾动脉栓塞的效果。方法 DSA导引下对23例急性肾动脉栓塞患者行肾动脉置管,用尿激酶微泵进行持续溶栓治疗,3 d后复查肾动脉DSA,通过影像学和实验室检查评估肾动脉溶栓效果。结果术后DSA复查显示23例患者中肾动脉完全开通21例,部分开通2例,有效率为91.3％。术后疼痛、少尿、血尿、发热等症状完全缓解21例,减轻2例。术后尿蛋白、天冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶同工酶(CK-MB)及肌酐(SCr)水平均较术前降低。结论肾动脉置管溶栓治疗急性肾动脉栓塞的效果显著,创伤小、安全性高。
목적：평개신동맥치관용전치료급성신동맥전새적효과。방법 DSA도인하대23례급성신동맥전새환자행신동맥치관,용뇨격매미빙진행지속용전치료,3 d후복사신동맥DSA,통과영상학화실험실검사평고신동맥용전효과。결과술후DSA복사현시23례환자중신동맥완전개통21례,부분개통2례,유효솔위91.3％。술후동통、소뇨、혈뇨、발열등증상완전완해21례,감경2례。술후뇨단백、천동안산전안매(AST)、유산탈경매(LDH)、기산격매동공매(CK-MB)급기항(SCr)수평균교술전강저。결론신동맥치관용전치료급성신동맥전새적효과현저,창상소、안전성고。
Objective To evaluate the clinical effect of percutaneous transcatheter renal artery thrombolysis in treating acute renal artery embolism. Methods A total of 23 patients with acute renal artery embolism underwent DSA-guided percutaneous transcatheter renal artery thrombolysis. Continuous urokinase thrombolytic therapy with micro pump was carried out in all patients; renal artery angiography was performed 3 days later; the therapeutic effect was evaluated with imaging manifestations and laboratory tests. Results Postoperative DSA showed that the renal artery was completely open in 21 patients and partially open in 2 patients; the effective rate was 91.3%. After thrombolysis treatment, complete remission of pain, oliguria, hematuria, fever and other symptoms was obtained in 21 cases, and relief of symptoms in 2 cases. Postoperative urine protein, aspartate aminotransferase (AST), lactate dehydrogenase (LDH), creatine kinase isoenzyme MB (CK-MB) and serum creatinine (SCr) levels were obviously decreased. Conclusion For the treatment of acute renal artery embolism, DSA-guided percutaneous transcatheter renal artery thrombolysis is very effective, minimally-invasive and highly-safe.