根治性肾癌切除术前应用超选择复合式肾动脉栓塞术的体会  

Application of Super-Selective and Compound Type Renal Artery Embolization Before Redical Nephrectomy(report of 47 cases)

作　　者：裴琼[1] 张廷继[1] 王存龙[1] 高福元[1] 姚绍鑫[2] 

机构地区：[1]唐山河北医科大学附属唐山工人医院泌尿外科,063000 [2]唐山河北医科大学附属唐山工人医院导管室,063000

出　　处：《现代泌尿外科杂志》2000年第1期41-43,共3页Journal of Modern Urology

摘　　要：为了探讨根治性肾切除术前应用超选择复合式肾动脉栓塞术的临床价值,我们对47例肾癌病人均于术前5～7天给予超选择复合式肾动脉栓塞。栓塞后造影发现瘤体靶血管是枯枝样改变,无非靶血管栓塞、术中见瘤体缩小、水肿、部分坏死,根治性切除率达95.7％,手术时间平均2.5小时。该术式可作为一种临床治疗肾癌的常规方法。To evaluate the therapeutic effect of super-selective and compound type renal artery emboliza-tion before redical nephrectomy, From Nov. 1991 to Apr. 1998, 47 cases of reaal tumor were undergone a super-selective and compound type renal artery embolization, and after 5~7 days a redical nephrectomy was carried out. A renal angiogram Showed that the target vessels of the tumor were completely embolizated, and the non-target vessels were normal. The Shrinkage, tumidity and partial necrosis in the. tumor were found. and elevating rate of the redical resection was 95.7% and average duration of the performing operation was only 2.5 hours. Super-selective and compound type renal artery embolization of the tumors of kidney is a con-siderately procedure in clinical therapy.

关 键 词：超选择 术前 肾癌 肾动脉栓塞术 瘤体 靶血管 根治性 常规方法 发现 

分 类 号：R737.11[医药卫生—肿瘤] R735[医药卫生—临床医学]