摘要
目的 探讨超选择性肾动脉栓塞术治疗肾损伤的适应证、优点及注意事项。方法 采用超选择性肾动脉栓塞术治疗 2 0例肾损伤患者 ,其中外伤性肾损伤 13例 ,复杂性肾结石取石手术和体外冲击波碎石术后肾损伤 7例。 结果 10例患者于术后第 1天肉眼血尿消失 ;6例于术后第 4天消失 ;3例于术后第 5天第 2次栓塞术后血尿消失 ;1例栓塞术后仍有持续性血尿加重而行肾切除术。 结论 超选择性肾动脉栓塞术具有侵袭小、止血效果好、能最大限度保护肾功能、并发症少等优点 ,是一种治疗轻、中度肾损伤的安全有效的方法。
Objective To review and clarify the therapeutic effect and experience of super-selective renal artery embolization for the treatment of renal injueies. Methods Twenty patients with renal injuries were treated by super-selective renal artery embolization. Results After super-selective artery embolization, macroscopic hematuria disappeared on the first day postoperation in 10 cases, the fourth day in 6 cases. Three cases underwent nephrectomy because of persistent hematuria on the fifth day postoperatively. Conclusions Super-selective renal artery embolization, with advantages of less aggression, good hemostatic efficacy, and less complications, is a safe and effective method for the treatment of mild and moderate renal injuries.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2000年第9期519-520,共2页
Chinese Journal of Trauma
