肾损伤出血病人的介入性栓塞治疗及疗效  

Interventional embolization for hemorrahage of renal injury and the therapeutic effect

作　　者：王健 王海宝 刘玉萍 

机构地区：[1]吉林省前郭县医院介入治疗科,吉林138000

出　　处：《当代医学》2009年第11期163-164,共2页Contemporary Medicine

摘　　要：目的肾损伤出血病人的介入性栓塞治疗能最大限度的保护肾功能,使肾脏不丢失,达到治愈目的。方法均采用Seldinger技术,对13例肾损伤病人行超选择肾动脉插管,应用了明胶海绵或金属弹簧圈及鱼肝油酸钠进行栓塞治疗。结果结果13例患者均行超选择肾出血动脉插管栓塞治疗,术后48小时镜下或肉眼血尿消失8例,治疗有效率60%,72小时镜下或肉眼血尿完全消失,治疗有效率100%。栓塞后,临床症状很快得到缓解,血压均在术后6小时内恢复正常水平;血尿和腹痛均在12小时以内消失,随访2～3年未发现复发现象。Objective The interventerational ebolotherapy for the hemorrhage of renal injury should protect the renal function maximatily to advoid the deletion of kidney.Methods The superselective renal arterial embolization by using seldinger technique was performed in thirteen patients with kidney injury, in which the gelatin sponge or metallic spring coil and sodium morrhuate were used. Results Thirteen patients performed renal arterial embolization.The effective power was 60% after opration 48 hours that eight microhematuria or macrohematuria were disappeared. The effctive power was 100% after opration 72 hours that all the microhematuria or macrohematuria were disappeared .The clinical symptoms were released,and the blood pressure were recovered to normal after opration 6 hours .In the meantime the hematuria and stomachache were disappeared in the 12 hours. There is no recurrence after follow-up of 2-3 years.

关 键 词：肾损伤 超选择插管 数字减影血管造影 肾动脉栓塞 

分 类 号：R692.9[医药卫生—泌尿科学]