超选择性肾动脉栓塞术治疗肾损伤20例  

Super-selective renal artery embolization for the treatment of renal injuries

作　　者：王共先[1] 胡峰[1] 熊礼生[1] 陈卫民[1] 孙庭[1] 曹润福[1] 冯亮[1] 史文仁[1] 谢平[1] 梅真葆[1] 王道仁[1] 彭轼平[1] 辜斌[2] 曾庆娥[2] 赵异才[2] 左慧英[2] 迟海波[2] 

机构地区：[1]江西医学院第一附属医院泌尿外科,南昌330006 [2]江西医学院第一附属医院介入室,南昌330006

出　　处：《中华创伤杂志》2000年第9期519-520,共2页Chinese Journal of Trauma

摘　　要：目的　探讨超选择性肾动脉栓塞术治疗肾损伤的适应证、优点及注意事项。方法　采用超选择性肾动脉栓塞术治疗 2 0例肾损伤患者 ,其中外伤性肾损伤 13例 ,复杂性肾结石取石手术和体外冲击波碎石术后肾损伤 7例。　结果　 10例患者于术后第 1天肉眼血尿消失 ;6例于术后第 4天消失 ;3例于术后第 5天第 2次栓塞术后血尿消失 ;1例栓塞术后仍有持续性血尿加重而行肾切除术。　结论　超选择性肾动脉栓塞术具有侵袭小、止血效果好、能最大限度保护肾功能、并发症少等优点 ,是一种治疗轻、中度肾损伤的安全有效的方法。Objective To review and clarify the therapeutic effect and experience of super-selective renal artery embolization for the treatment of renal injueies. Methods Twenty patients with renal injuries were treated by super-selective renal artery embolization. Results After super-selective artery embolization, macroscopic hematuria disappeared on the first day postoperation in 10 cases, the fourth day in 6 cases. Three cases underwent nephrectomy because of persistent hematuria on the fifth day postoperatively. Conclusions Super-selective renal artery embolization, with advantages of less aggression, good hemostatic efficacy, and less complications, is a safe and effective method for the treatment of mild and moderate renal injuries.

关 键 词：肾损伤 超选择性肾动脉栓塞术 病例报告 

分 类 号：R692[医药卫生—泌尿科学]