摘要
目的评价经皮肾动脉栓塞术治疗肾脏肿瘤性出血的安全性及长期有效性。方法 12例因肾脏肿瘤导致的出血患者在我科接受了经皮肾动脉栓塞术。肿瘤病变包括肾血管平滑肌脂肪瘤7例,肾癌5例。栓塞用材料包括PVA颗粒和碘油混合物(8例9次),其中2例加用博来霉素;弹簧圈3例,其中2例加用明胶海绵条;单用碘油1例。3例考虑为肾癌的患者在栓塞治疗后接受了外科手术治疗。结果经皮肾动脉栓塞术止血有效率达到100%。在随访中无出血复发患者;1例患者在第一次左肾血管平滑肌脂肪瘤致出血行左肾动脉栓塞术后9个月,因右肾血管平滑肌脂肪瘤腹胀症状明显,又接受了右肾动脉栓塞术。术后未出现严重并发症,出现栓塞后综合征4例,经对症治疗缓解。术后随访中12例患者均接受了影像学检查,包括CT 9例,超声2例,MRI 1例。结论经皮肾动脉栓塞术是治疗肾脏肿瘤性出血的安全有效方法,其随访显示长期治疗效果确切。
Objective To evaluate the safety and efficacy of percutaneous renal artery embolization for treatment of hemorrhage caused by renal tumor. Methods 12 consecutive patents underwent renal artery embolization to treat hemorrhage caused by renal tumor. There was 7 cases with renal angiomyolipoma and 5 cases with renal carcinoma. The embolism materials used consisted of polyvinyl alcohol particles/lipiodol mixture in 8 cases, coils with gelatin sponge in 3, lipiodol in 1.3 of the 5 cases diagnosed as renal carcinoma underwent surgery and were pathologically confirmed as malignancy. Results The success rate for hemostasis was 100% in our series. One patient required a subsequent embolization of the right kidney 9 months after the initial embolization of the left kidney. No rebleeding occurred in all the cases during the follow up. Medical imaging modalities including computed tomography （n=9）, ultrasound （n=2）, and magnetic resonance （n=l） were performed during the follow up. Conclusion Percutaneous renal artery embolization is an effective treatment for hemorrhage caused by renal tumors. Clinical outcome is durable according to long-term follow up results.
出处
《中华临床医师杂志（电子版）》
CAS
2014年第14期17-19,共3页
Chinese Journal of Clinicians(Electronic Edition)
关键词
肾肿瘤
出血
肾动脉栓塞术
肾血管平滑肌脂肪瘤
Kidney neoplasms
Hemorrhage
Renal artery embolization
Renal angiomyolipoma
