肾动脉CTA在急性肾出血栓塞治疗中的应用  

Utilization of renal artery CT angiography in embolotherapy for acute renal hemorrhage

作　　者：徐伟[1] 王法[1] 梁宏伟[2] 王宏辉[1] 

机构地区：[1]哈尔滨医科大学附属第二医院介入科,黑龙江哈尔滨150086 [2]哈尔滨医科大学附属第二医院CT诊断科,黑龙江哈尔滨150086

出　　处：《医学影像学杂志》2013年第7期1085-1088,共4页Journal of Medical Imaging

摘　　要：目的探讨肾动脉CTA在急性肾出血栓塞治疗中的临床应用效果。方法 38例患者在栓塞治疗前行肾动脉CTA检查。在介入手术中寻找所有出血的肾动脉,并逐一进行栓塞治疗。结果 38例急性肾出血的患者在栓塞治疗前行肾动脉CTA检查确诊了出血的病因,共找到45支病变的肾动脉,介入手术中共找到51支出血肾动脉并成功栓塞治疗。手术前肾动脉CTA检查诊断的准确率为92.16%(47/51)。结论栓塞治疗前肾动脉CTA检查可以明确诊断急性肾出血病因,并为肾动脉栓塞治疗提供准确的定位作用。Objective To explore the strategy and clinical effect of renal artery CT angiography in embolotherapy for acute renal hemorrhage. Methods Thirty-eight patients of acute renal hemorrhage underwent renal artery CT angiography before embolotherapy. All bleeding renal arteries were found and blocked one by one in embolotherapy. The strategy and clinical effect of renal artery CT angiography in embolotherapy for acute renal hemorrhage were analysed retrospectively. Results Diagnosis in etiology of acute renal hemorrhage was confirmed, and all 47 the bleeding renal arteries were found in thirty-eight patients underwent renal artery CT angiography before embolotherapy. While, 51 bleeding renal arteries were located and embolized successfully in embolotherapy. Diagnostic accuracy of renal artery CT angiography before embolotherapy was 92.16% （47/51）. Conclusion Renal artery CT angiography before embolotherapy can confirm the diagnosis in etiology of acute renal hemorrhage and provide the effect of location for finding the bleeding renal arteries in embolotherapy.

关 键 词：肾出血 栓塞治疗 体层摄影术 X线计算机 血管造影 

分 类 号：R442.7[医药卫生—诊断学]