[1]任建庄,梁惠民,吴汉平,等.肾出血的血管造影诊断及经导管栓塞治疗[J].介入放射学杂志,2008,(09):630.
　REN Jianzhuang,LIANG Huimin,WU Hanpin,et al.Diagnosis and treatment of renal hemorrhage via angiography and transcatheter embolization[J].journal interventional radiology,2008,(09):630.
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肾出血的血管造影诊断及经导管栓塞治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年09期
页码:
630
栏目:
血管介入
出版日期:
2008-09-15

文章信息/Info

Title:
Diagnosis and treatment of renal hemorrhage via angiography and transcatheter embolization
作者:
任建庄; 梁惠民; 吴汉平; 等
４３００２２武汉华中科技大学附属协和医院放射科
Author(s):
REN Jian－zhuang; LIANG Hui－min; WU Han－pin; ZHENG Chuan－sheng; ZHOU Guo－feng．
Department of Radiology，Union Hospital，Huazhong University of Science and Technology，Wuhan４３００２２，China
关键词:
肾出血; 血管造影; 栓塞; 治疗性; 介入性
分类号:
R６９２.１６
文献标志码:
A
摘要:
目的探讨肾出血的血管造影诊断及经导管栓塞治疗的临床价值。方法６２例肾出血患者中肾癌姑息治疗２８例，肾血管平滑肌脂肪瘤１３例，肾损伤１２例，肾血管畸形７例，肾动脉瘤２例。临床表现均有肉眼血尿。先行动脉造影，了解出血原因、部位、程度及血供情况；然后超选择插管至病变处，灌注化疗药物和（或）进行栓塞治疗，栓塞方法及栓塞剂的种类、剂量根据病变性质、造影表现及插管具体位置进行选择。结果６２例患者均通过动脉造影获得了明确的诊断，１９例可见对比剂外溢。介入治疗后４３例患者１２h内肉眼血尿消失，１７例２４h后肉眼血尿消失；２例肾癌术后肉眼血尿术后明显减轻，持续到１周后消失。随防１～４８个月，除４例肾癌患者栓塞后１个月左右又出现血尿外，其余患者均无肾出血复发，CT示栓塞满意。结论经导管血管造影诊断和栓塞治疗是肾出血的可靠诊疗方法，创伤小、止血快速、安全、有效，并发症少，并能最大程度的保护肾功能。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００８－０７－１２
更新日期/Last Update: 2008-09-15