摘要
目的探讨节段性肾动脉栓塞在治疗非肿瘤性肾出血中的价值。方法4例患者中肾穿刺活检后出血2例,肾切开取石后出血1例,先天性肾动静脉畸形出血1例。对4例非肿瘤性肾出血行超选择性节段性肾动脉栓塞。其中2例各用1枚直径3 mm钢圈栓塞;1例用3 ml无水酒精加2枚直径3 mm钢圈栓塞;1例用3F SP微导管注入300μPVA颗粒栓塞。结果栓塞后1 d内血尿消失3例,3 d内血尿消失1例,随访7～45个月无血尿,无栓塞引起的并发症。结论节段性肾动脉栓塞治疗非肿瘤性肾出血安全、可靠。
Objective To explore the value of segmental embolization of renal artery in dealing with nonneoplastic renal hemorrhage. Methods Four cases of non-neoplastic hemorrhage, including 2 with bleeding after renal acupuncture biopsy, 2 with bleeding after nephrolithotomy and 1 with congenital renal arteriovenous malformation, were treated with superselective segmental embolization of renal artery. 2 were embolized with coil, 1 with alcohol plus coil and 1 with PVA parcels. Results Hematuria disappeared in 1-3 days. There was no recurrence in 7-45 months follow up and no complications induced by embolization. Conclusion It is a safe and reliable therapy to treat non-neoplastic renal hemorrhage with segmental embolization of renal artery.
出处
《影像诊断与介入放射学》
2007年第2期76-78,共3页
Diagnostic Imaging & Interventional Radiology
关键词
出血
肾动脉
栓塞
介入
Hemorrhage
Renal artery
Embolization
