摘要
目的讨论介入性栓塞对肾创伤性出血的治疗价值及对保留伤肾功能的意义。方法对１６例不同原因肾创伤性血尿进行介入性诊断和选择性血管内栓塞治疗。结果术后最早２小时，一般２０小时内血尿停止，尿液变清。１６例病人中３例未发现血管异常，１例血管闭塞，１２例造影剂外溢病人行栓塞治疗后止血。２例复发第二次栓塞，其中１例较大动静脉瘘者，因再次出血而行伤肾切除。其他病人栓塞术后近期ＩＶＰ复查，伤肾泌尿功能保留良好。结论介入放射学诊断与栓塞是肾创伤性出血可靠的诊断及止血方法，并对保留伤肾泌尿功能具有重要意义。
? Objective To investigate the value of em
bolic treatment for renal traumatic bleeding and the significance to keep on th
e renal function.
Methods The radiologic diagnosis and interventional
selective embolization were performed in 16 cases with blood
yurine of traumatic kidneye, The clear sys of bloody urine was obtained within
2～20 hours after surge
ry and then IVP was taken to observe the function of renal within 1～3 hours af
t
er surgery. Results Angiography not only can define the location, e
xtent and rdegree of lesions, but also provide evidences for embolization. The b
lood vessels, turned normal in 3 cases and occluded in one case. The embolic tre
a
tment was performed in 12 patients with contrast medium extravasated. The second
embolization treatment was performed in 2 patients with bleeding recurrence. Th
e kidney of one patient was excised because of bleeding after second embolizatio
n treatment with larger arterioventous fistula. All of the following IVP showed
t
hat the traumatic kidneys'function were kept well.Conclusions The
interventional radiologic method is reliable to diagnose and treat kidney traum
atic bleeding and effection for keeping kidneys' function.
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出处
《介入放射学杂志》
CSCD
1999年第3期144-145,共2页
Journal of Interventional Radiology
关键词
肾创伤
出血
介入性放射学
栓塞治疗
诊断
】
Renal trauma Hemorrhage Radiology, interventional Emboligation, therpeu
tic
