无水乙醇术前肾动脉栓塞治疗肾癌的临床疗效分析  

Preoperative transcatheter renal artery embolization with absolute alcohol for the treatment of renal carcinoma: a clinical efficacy analysis

作　　者：尚鸣异[1] 王国良[1] 韩宏杰[1] 席芊[1] 黄宗良[1] 唐俊军[1] 高晓龙[1] 王培军[1] 陆影[1] 徐卫国[1] 

机构地区：[1]上海同济大学附属同济医院放射科,200060

出　　处：《介入放射学杂志》2010年第5期399-401,共3页Journal of Interventional Radiology

摘　　要：目的评价肾癌术前肾动脉无水乙醇栓塞治疗的疗效。方法 32例肾癌患者,行患侧肾动脉无水乙醇逐级栓塞,明胶海绵栓塞肾动脉主干,2～5d后行肾癌根治术,记录肿瘤切除率,术中失血量和手术时间。结果 32例栓塞后造影证实肾动脉完全栓塞,手术肿瘤切除率100%,术中见肿瘤缩小,肾表面静脉萎陷,肾周围水肿明显,出血少,手术时间短。结论肾动脉栓塞可以减少手术出血,缩短手术时间,是肾癌的一种安全有效的治疗手段。Objective To access the effectiveness of preoperative transcatheter renal artery embolization with absolute alcohol performed before nephrectomy in treating renal carcinoma. Methods Preoperative transcatheter renal artery embolization with absolute alcohol was performed in 32 patients with renal carcinoma. The renal arteries of the diseased side were progressively occluded, from distal small branches to proximal larger ones, and the renal artery trunk was embolized with gelatin sponge. Radical nephrectomy was carried out 2-5 days after the embolization procedure. The resectional rate of the tumor, the blood loss during the surgery and the operation time were recorded and analyzed. Results Angiography performed immediately after the embolization showed that complete embolization of the main renal artery was achieved in all 32 patients. The resectional rate of the tumor was 100%. During the surgery, shrinkage of tumor, collapse of renal superficial veins and marked perinephric edema were observed. The blood loss during the surgery was much less and the operation time cost was much shorter than a usual nephrectomy did. Conclusion The preoperative transcatheter renal artery embolization with absolute alcohol is an effective therapeutic means for renal carcinoma, it can definitely reduce the surgical blood loss and shorten the operative time.

关 键 词：无水乙醇 肾癌 肾动脉栓塞 

分 类 号：R737.11[医药卫生—肿瘤]