特发性肾出血36例诊治分析  

Diagnosis and Treatment of Idiopathic Renal Hemorrhage(Report of 36 Cases)

作　　者：赵伟[1] 李振华[1] 孔垂泽[1] 

机构地区：[1]中国医科大学附属第一医院泌尿外科,沈阳110001

出　　处：《临床泌尿外科杂志》2011年第7期499-500,503,共3页Journal of Clinical Urology

摘　　要：目的:探讨特发性肾出血的诊断与治疗.提高其诊治水平。方法:同顾性分析2000年1月～2010年8月我科收治的特发性肾出血36例。结果:36例患者中肾动静脉瘘28例.微小肾盂及肾盏癌24例.肾动脉瘤3例.肾假性动脉瘤1例。其中29例行选择性肾动脉栓塞术.2例行肾切除术.4例行肾盂癌根治术.所有治疗后患者血尿均消失;1例因肾动静脉瘘多处.未进行治疗。结论:外科常见的特发性肾出血病例以肾血管疾病最为常见,选择性肾动脉造影及肾动脉栓塞术对特发性肾出血的诊治有重要意义。对于难以确诊的特发性肾出出患者,要考虑到微小肾盂肾盏癌的可能.输尿管软镜检查对其诊断有一定帮助。Objective：To discuss the diagnosis and treatment of idiopathic renal hemorrhage. Methods：The clinical data of 36 cases of idiopathic renal hemorrhage at our institute from Jan 2000 to Aug 2010 were reviewed. Resuits：Of all 36 cases,28 were renal arteriovenous fistula, 4 were micro-renal pelvis carcinoma, 3 were renal artery aneurysm and 1 was pseudoaneurysm229 cases received selective renal artery embolization and 2 cases received nephrectomy and 4 cases received radical resection of renal pelvis carcinoma. Hataturia disappeared in all these cases after treatment. Another one case was not treated because of multiple vascular lesions in kidney. Conclusions： Renal vascular disease was most commonly seen in idiopathic renal hemorrhage and selective renal arteriography and se leetive renal artery embolization are preferred diagnosis and treatment methods. Micro-renal pelvis carcinoma could also cause idiopathic renal hemorrhage and flexible ureteroscope is a good diagnostic tool.

关 键 词：特发性肾出血 肾动静脉瘘 选择性肾动脉造影 肾动脉栓塞术 

分 类 号：R692[医药卫生—泌尿科学]