经皮肾镜取石术后并发肾动脉出血的介入治疗  

Interventional treatment of kidney hemorrhage followed by percutaneous nephrolithotomy(PCNL)

作　　者：任永才[1] 许维亮[1] 马文尊[1] 尹爱群[1] 付明[1] 

机构地区：[1]山东中医药大学第二附属医院放射科,山东济南250001

出　　处：《医学影像学杂志》2008年第5期518-520,共3页Journal of Medical Imaging

摘　　要：目的:探讨肾动脉造影和栓塞术治疗经皮肾镜取石术后并发肾动脉出血的临床应用价值。方法:对7例经皮肾镜取石术后并发肾动脉出血的患者行超选择性肾动脉造影,诊断明确后用明胶海绵和弹簧圈做栓塞治疗。结果:7例中5例1次、2例2次栓塞成功,出血停止,7例全都保留了患肾的大部分组织和功能,无严重并发症。结论:选择性肾动脉造影和栓塞术创伤小,见效快,可明确诊断并有效治疗经皮肾镜取石术后并发的肾动脉出血,对最大限度的保留患肾功能有重要的临床意义,可作为经皮肾镜取石术后肾动脉出血的首选治疗方法。Objective.To assess the value of angiography and embolization in the treatment of kidney hemorrhage. Methods：Selective renal arterial angiography and embolization were performed in 7 cases with kidney hemorrhage followed by PCNL. Results： The first embolization was successful in 5 patients and the others were cured after the second try; in the meantime, the main renal function was reserved. There was no complicating disease after intervention. Conclusion： Selective renal arterial angiography and embolization is reliable and effective in the diagnosis and treatment of kidney hemorrhage followed by PCNL and in keeping main function of the kidney.

关 键 词：动脉出血 介入放射学 血管造影 动脉栓塞 经皮肾镜取石 

分 类 号：R815[医药卫生—放射医学] R692[医药卫生—临床医学]