超选择性肾动脉栓塞术在肾动脉出血中的应用价值及栓塞方法的选择  

Clinical value of super selective renal artery embolization in renal arterial hemorrhag and embolism method selection

作　　者：寇长元[1] 许真[1] 崔杰[1] 刘鑫[1] 

机构地区：[1]陕西省安康市中心医院肿瘤科,陕西安康725000

出　　处：《海南医学院学报》2014年第7期947-949,952,共4页Journal of Hainan Medical University

基　　金：国家自然科学青年基金资助项目(30900828)~~

摘　　要：目的:探讨超选择性肾动脉栓塞术在肾动脉出血中的应用价值及栓塞方法。方法:选择我院收治的肾动脉出血患者26例,经超选择性肾动脉栓塞后,分析手术结果、病理学结果和术后并发症发生情况。结果:26例患者中,25例1次栓塞成功,其成功率96.2%;1例患者术后48h后,出现血尿,进行二次栓塞后彻底止血;术后第1天血细胞比容和血红蛋白较术前下降,差异具有统计学意义(P<0.05);第3天血细胞比容和血红蛋白较第1天明显升高,差异具有统计学意义(P<0.05);26例患者术后均出现不同程度的栓塞综合征,对症治疗后均好转。结论:超选择性肾动脉栓塞治疗肾动脉出血具有创伤小、疗效好,其个性化的栓塞治疗可提高一次止血成功率和尽可能保护患者肾功能。Objective- To explore the clinical value of super selective renal artery embolization in renal arterial hemorrhag and embolism method selection. Methods： Selected 26 cases of renal artery hem- orrhage admitted to our hospital underwent renal artery embolization in our hospital from June 2012 to Au- gust 2013. Operation outcomes, pathology results and postoperative complications were analyzed. Re- suits： Operations were successful in 25 patients of the 26 cases, with a success rate of 96.2% ; hematuria was observed in 1 case which was stopped after a second embolization; hematocrit and hemoglobin on the 1st postoperative day were significantly decreased （t=2. 768,2. 592, P〈0.05）, but on the third day, hematocrit and hemoglobin increased significantly comparing with the level on 1st day （t= 3. 241,0. 312, P 〈0.05） ; all 26 patients had different degree of embolism syndrome which were improved after symptom- atic treatment. Conclusion： For renal arterial hemorrhage, super selective renal artery embolization has ad-vantages of little trauma, good curative effect, personalized embolization can improve the success rate of hemostasis and the high success rate protect renal function in patients with renal artery bleeding.

关 键 词：超选择性栓塞术 肾动脉出血 临床价值 栓塞方法 

分 类 号：R692[医药卫生—泌尿科学]