摘要
目的提高先天性肾动静脉瘘的诊治效果。方法应用肾动脉数字减影血管造影（ＤＳＡ）超选择性肾动脉介入栓塞方法诊治先天性肾动静脉瘘３例。结果３例经ＤＳＡ明确诊断，在栓塞术后当日肉眼血尿消失，２４～７２小时后尿常规正常。术后７２小时内有腰酸痛、低热、腹胀，无肾性高血压发生。结论ＤＳＡ是明确肾动静脉瘘的最佳诊断方法，可同时进行超选择性肾动脉介入栓塞。
Objective To probe into the diagnosis and treatment of congenital renal arteriovenous fistula. Methods The renal arteriovenous fistula was diagnosed on DSA renal arteriography in 3 cases and were treated by superselective renal thrombosis. Results The diagnosis of congenital renal arteriovenous fistula was accurately made on DSA.Treatment of the fistula was achieved through superselective thrombosis with good results.No renal vascular hypertension has been observed.Differential diagnosis between congenital and secondary renal arteriovenous fistula was discussd. Conclusions DSA is believed to be the best diagnostic method of congenital renal arterivenous fistula.Superselective renal artificial thrombosis is safe and effective for both the retain of renal function and the treatment of renal arteriovenous fistula.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1999年第3期149-151,共3页
Chinese Journal of Urology
关键词
肾动静脉瘘
血管造影
诊断
治疗
栓塞疗法
Arteriovenous fistula Kidney Angiography Embolization,therapeutic
