超选择微弹簧圈栓塞治疗经皮肾穿刺活检术后难止性出血疗效分析  

Superselective Microcoil Embolization for Refractory Renal Hemorrhage after Percutaneous Renal Puncture

作　　者：郑佳[1] 张显明[1] 王斌[1] 陈建新[1] 

机构地区：[1]广安市人民医院介入放射科,四川广安638000

出　　处：《四川医学》2015年第1期60-62,共3页Sichuan Medical Journal

摘　　要：目的探讨超选择微弹簧圈栓塞治疗肾穿刺活检术后难止性肾出血的疗效与安全性。方法回顾性分析15例穿刺活检术后难止性肾出血患者采用Seldinger技术穿刺右侧股动脉插管,行肾动脉造影明确分支血管出血部位,以微导管超选择至出血病变血管内释放微弹簧圈栓塞治疗。结果 15例患者均成功止血,复查肾功能无明显加重,无严重并发症发生。结论经微导管超选择微弹簧圈栓塞治疗经皮肾穿刺活检术后肾出血,创伤小、疗效好、对肾功能影响小,可作为肾穿刺活检术后难止性肾出血的首选治疗方法。Objective To discuss the clinical effect and safty of superselective microcoil embolization for refractory renal hemorrhage after percutaneous renal puncture. Methods 15 cases of refractory renal hemorrhage after percutaneous renal punc-ture were retrospectively analyzed. We used the skill of Seldinger to cannulate right femoral artery and performed renal angiography to ensure the bleeding part. Microcoils were were used to embolize the rupture artery through microtubule. Results 15 cases were hemostasised successfully,and renal function was progression-free after the embolization without severe complications. Conclu-sion Superselective microcoil embolization for refractory renal hemorrhage after percutaneous renal puncture is a kind of method which is minimally invasive, eutherapeutic and minimum of renal function. It should be the fi rst choice for renal hemorrhage after percutaneous renal puncture.

关 键 词：经皮肾穿刺活检术 难止性肾出血 超选择性栓塞 微弹簧圈 

分 类 号：R692[医药卫生—泌尿科学]