摘要
目的：探讨单侧肾脏功能严重受损导致高血压，腰部胀痛，肾孟积水，感染等症状，经过介入栓塞忠肾供血动脉，不良症状消失的疗效。方法：20例患者中，14例无水乙醇拴塞肾动脉，6例肾动脉主干闭塞，惠肾由邻近腰动脉供血，以直径150~300um微球栓塞。结果：20例成功实施栓塞,无相关并发症。12例高血压降压药物减少甚至停服，肾素血管紧张素醛田酮值降至正常．7例肾盂造瘘1周拔嘹造瘘管。1例右肾孟少量积水，反复感染，栓塞后感染得到控制。结论：栓塞惠侧肾脏供血动脉可有效解决残留肾脏产生的不良症状，对高龄，。肺功能不全者，外科术后组织粘连严重者，避免了肾脏切除的风险，有较高的临床应用价值．
Objective To discuss the effect of affected renal artery embolization in treating high blood pressure, waist pains, hydronephrosis and infection caused by single severly damaged kidney. Methods Of 20 patients, 14 embolized kidney artery with absolute alcohol,6 patients main kidney artery blocked, affected kidney was supplied by lumbar artery and was emboliaed with 150~300um microsphere. Results All 20 patients was treated with renal artery embolization successfully, no related complication occurred. 12 patients with hypertension reduced or stopped antihypertensives, angiotensin and aldo- sterone dropped down to normal. 7 patients with hydronephrosis removed fistula 1 week after embolization. 1 patient have a few hydronephrosia and trou- bled with repeated infection,was managed by the embolization. Conclusion Superselective renal artery embolization could solve harmful symptoms caused by residual renal, and have higher value of clinical applications for old, cardiopulmonary insufficieney patients and patients with organization conglutlnation after surgical,in that it avoided nephrectomy.
