摘要
目的：探讨超选择肾动脉栓塞治疗创伤性肾出血的疗效,总结诊疗经验、提高治疗水平。方法：回顾性分析2010年4月-2013年8月在我院行超选择肾动脉栓塞的36例患者的临床资料。对患者受伤原因、治疗方案、治疗结果、并发症等进行分析。结果：36例创伤性肾脏出血的患者中外伤性肾出血23例,经皮肾镜碎石术后继发性出血13例。32例（88.9%）超选择肾动脉栓塞后成功止血,2例栓塞后继续出血,再次行超选择肾动脉栓塞止血成功,2例患者因血管造影不能找到明显的出血点,行肾动脉主干栓塞后止血成功。1例患者栓塞后第2天突发肺栓塞抢救无效死亡,余35例患者均未发现栓塞相关的严重并发症。结论：超选择肾动脉栓塞是治疗创伤性肾出血的有效方法,具有创伤小,对肾功能损伤小的特点,且无严重并发症。
Objective：To assess the effectiveness of superselective renal artery embolization（SRAE）in the treatment of traumatic renal hemorrhage and improve the management of traumatic renal hemorrhage.Method：We retrospectively reviewed the medical records of 36 patients who underwent SRAE for renal hemorrhage from April2010 to August 2013.The causes of injury,therapeutic regime,outcome and complication were analyzed.Result：Among 36 patients,23cases were found bleeding because of trauma,and 13 patients were found bleeding after PCNL.A total of 32patients（88.9 %）underwent successful embolization.Treatment failed in two patients.A secondary superselective embolization became inevitable and received a successful outcome.Two cases who can not be found the bleeding site underwent renal artery embolization.All patients weren’t found serious complications except that one case died because of acute lung embolism.Conclusion：For the control of traumatic renal hemorrhage SRAE is an effective and minimal invasive method with some advantages of little trauma,little influence on renal function and no serous complications.
出处
《临床泌尿外科杂志》
2014年第11期1005-1007,共3页
Journal of Clinical Urology
关键词
肾动脉造影
肾出血
超选择肾动脉栓塞
renal arteriography
renal hemorrhage
superselective renal artery embolization
