摘要
目的 :探讨经导管栓塞治疗肾脏损伤的疗效、适应证和并发症。方法 :回顾性分析经导管栓塞治疗的肾脏损伤患者 3 8例 ,均以Seldinger技术穿刺右股动脉 ,以 5FPigtail导管行腹主动脉造影后 ,再更换为 5FCobra导管 ,插管至病变部位行栓塞治疗。结果 :3 8例患者栓塞后 6～ 2 4h内血尿停止。 3例患者在栓塞后出现发热 ,分别为胰源性腹膜炎及慢性支气管炎急性发作引起。 1例患者因穿刺点压迫不当发生皮下血肿。 1例经明胶海绵栓塞者在栓塞后 4个月血尿复发 ,用不锈钢圈再次栓塞后缓解。结论 :经导管栓塞治疗肾脏损伤安全、迅速、有效 ,能最大限度地保留有功能的肾组织。
Objective:To investigate the clinical efficiency,indications and complications of transcatheter arterial embolization for the treatment of renal injury.Methods:Thirty-eight cases with renal injury treated by transcatheter embolization were retrospectively analyzed.All patients underwent abdominal aorta digital subtraction angiography transfemorally with a 5F Pigtail catheter which was then replaced by a Cobra catheter of the same size.The Cobra catheter was introduced in proximity to the bleeding site and embolization was performed.Results:Hematuria ceased within 6 to 24 hours in all cases.Fever developed in 3 cases after the embolization,which was due to pancreatogenic peritonitis or acute attack of chronic bronchitis respectively.Hematoma occurred in one case at the puncture site. Recurrence of hematuria was found in one gelatin sponge-embolized case and was reembolized with stainless steel coil.Conclusion:Transcatheter embolization for the treatment of renal injury is safe,prompt,effective and can preserve most of the functional renal parenchyma.
出处
《放射学实践》
2004年第4期284-286,共3页
Radiologic Practice
