经皮肾穿刺活检后肾动静脉瘘合并假性动脉瘤1例报道  

Report of 1 case of renal arteriovenous fistula complicated with pseudoaneurysm after percutaneous renal biopsy

作　　者：黄慧龙 梁伟翔[2] HUANG Huilong;LIANG Weixiang(Department of Ultrasound,Guangdong Second Provincial General Hospital,Guangzhou,Guangdong 510317,China;Department of Ultrasound,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510317,China)

机构地区：[1]广东省第二人民医院超声科,广东广州510317 [2]广州医科大学附属第三医院超声科,广东广州510150

出　　处：《医药前沿》2025年第8期67-69,共3页Journal of Frontiers of Medicine

摘　　要：肾动静脉瘘和肾假性动脉瘤是经皮肾穿刺活检术后较为少见且严重的并发症。现详细介绍超声引导下经皮肾穿刺活检后出现肾动静脉瘘合并假性动脉瘤的病例1例。该患者及家属拒绝介入栓塞治疗,遂予以保守治疗并观察。穿刺术后5个月,动静脉瘘及假性动脉瘤形成血栓后闭塞,但形成血栓后的假性动脉瘤体积仍较大,有迟发性破裂出血的可能,需临床密切随访。此病例类型较为少见,希望能引起肾穿刺活检患者及医生的注意,并为相关工作提供一定帮助。Renal arteriovenous fistula and renal pseudoaneurysm are rare and serious complications after percutaneous renal biopsy.A case of renal arteriovenous fistula complicated with pseudoaneurysm after ultrasound-guided percutaneous renal biopsy is described in detail.The patient and his family refused interventional embolization treatment,so they were treated conservatively and observed.At 5 months after puncture,arteriovenous fistula and pseudoaneurysm formed post-thrombosis occlusion,but the volume of pseudoaneurysm after thrombosis was still large,and there was the possibility of delayed rupture and hemorrhage,which needed close clinical follow-up.This case type is relatively rare,hoping to attract the attention of renal biopsy patients and doctors,and provide some help for related work.

关 键 词：经皮肾穿刺活检 肾动静瘘 肾假性动脉瘤 血栓 保守治疗 

分 类 号：R732[医药卫生—肿瘤]