肾动脉置管溶栓治疗急性肾动脉栓塞效果分析  

Percutaneous transcatheter renal artery thrombolysis for acute renal artery embolism : analysis of clinical efficacy

作　　者：王舒婷[1] 虞希祥[1] 乔彬彬[1] 施振静[1] 施昌盛[1] 朱国庆[1] 

机构地区：[1]浙江瑞安温州医科大学附属第三医院介入科,325200

出　　处：《介入放射学杂志》2015年第9期773-775,共3页Journal of Interventional Radiology

摘　　要：目的评价肾动脉置管溶栓治疗急性肾动脉栓塞的效果。方法 DSA导引下对23例急性肾动脉栓塞患者行肾动脉置管,用尿激酶微泵进行持续溶栓治疗,3 d后复查肾动脉DSA,通过影像学和实验室检查评估肾动脉溶栓效果。结果术后DSA复查显示23例患者中肾动脉完全开通21例,部分开通2例,有效率为91.3%。术后疼痛、少尿、血尿、发热等症状完全缓解21例,减轻2例。术后尿蛋白、天冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶同工酶(CK-MB)及肌酐(SCr)水平均较术前降低。结论肾动脉置管溶栓治疗急性肾动脉栓塞的效果显著,创伤小、安全性高。Objective To evaluate the clinical effect of percutaneous transcatheter renal artery thrombolysis in treating acute renal artery embolism. Methods A total of 23 patients with acute renal artery embolism underwent DSA-guided percutaneous transcatheter renal artery thrombolysis. Continuous urokinase thrombolytic therapy with micro pump was carried out in all patients; renal artery angiography was performed 3 days later; the therapeutic effect was evaluated with imaging manifestations and laboratory tests. Results Postoperative DSA showed that the renal artery was completely open in 21 patients and partially open in 2 patients; the effective rate was 91.3%. After thrombolysis treatment, complete remission of pain, oliguria, hematuria, fever and other symptoms was obtained in 21 cases, and relief of symptoms in 2 cases. Postoperative urine protein, aspartate aminotransferase （AST）, lactate dehydrogenase （LDH）, creatine kinase isoenzyme MB （CK-MB） and serum creatinine （SCr） levels were obviously decreased. Conclusion For the treatment of acute renal artery embolism, DSA-guided percutaneous transcatheter renal artery thrombolysis is very effective, minimally-invasive and highly-safe. （J Intervent Radiol, 2015, 24： 773- 775）

关 键 词：肾动脉栓塞 置管溶栓 疗效评价 

分 类 号：R699.2[医药卫生—泌尿科学]