[1]朱 彬.超选择性动脉栓塞治疗急性肾出血[J].介入放射学杂志,2011,(10):815.
　ZHU Bin. Super-selective renal artery embolization for the treatment of acute renal hemorrhage[J].journal interventional radiology,2011,(10):815.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年10期
页码:
815
栏目:
临床研究
出版日期:
2011-10-25

文章信息/Info

Title:

Super-selective renal artery embolization for the treatment of acute renal hemorrhage

作者:
朱 彬
528000 广东省佛山市第一人民医院影像科
Author(s):
ZHU Bin
Department of Radiology, the First Municipal People＇s Hospital, Foshan, Guangdong Province 528000, China
关键词:
肾出血;  超选择性动脉栓塞;  多层螺旋ＣＴ血管造影
分类号:
Ｒ６９２
文献标志码:
B
摘要:
目的 探讨超选择性肾动脉栓塞治疗急性肾出血的价值。方法 采用４ Ｆ导管或（和）２．７ Ｆ微导管注入钢圈或（和）微钢圈、聚乙烯醇颗粒超选择性肾动脉栓塞治疗１７例严重肾出血患者。５例患者于术前行多层螺旋ＣＴ血管造影（ＣＴＡ）检查，９例患者于术后４ ｄ　～　５４个月行ＣＴ平扫、增强扫描与ＣＴＡ检查。结果　　　１７例患者均一次性介入治疗成功。术前ＣＴ增强扫描和ＣＴＡ可见出血灶、动静脉畸形、动脉瘤等异常征象。术后ＣＴ可见栓塞动脉所支配的肾组织出现不同程度的梗死、萎缩，肾边缘收缩、凹陷。４例可见对侧正常肾代偿性增大。术后ＣＴＡ见异常血管消失，弹簧钢圈无移位。结论　　　超选择性肾动脉栓塞治疗急性肾出血安全、可靠。ＣＴＡ对发现术前出血部位及术后疗效评估有重要意义

参考文献/References:

[1] 罗剑渊, 王家平, 李迎春, 等. 超选择性肾动脉栓塞治疗严重肾出血的疗效评价[J]. 介入放射学杂志, 2010, 19: 188 - 190.
[2] Breyer BN, Mcaninch JW, Elliott SP, et al. Minimally invasive endovascular techniques to treat acute renal hemorrhage[J]. J Urol, 2008, 179: 2248 - 2253.
[3] Sommer CM, Stampfl U, Bellemann N, et al. Patients with life-threatening arterial renal hemorrhage: CT angiography and catheter angiography with subsequent superselective embolization[J]. Cardiovasc Intervent Radiol, 2010, 33: 498 - 508.
[4] Phadke RV, Sawlani V, Rastogi H, et al. Iatrogenic renal vascular injuries and their radiological management[Z], 1997: 119.
[5] Jain V, Ganpule A, Vyas J, et al. Management of non-neoplastic renal hemorrhage by transarterial embolization[J]. Urology, 2009, 74: 522 - 526.
[6] Bookstein JJ. Vasodilatory and vasoconstrictive pharmacoangiog-raphic manipulation of renal collateral flow[Z], 1973: 55.
[7] 代向党, 王 赢, 程 喆, 等. 超选择肾动脉栓塞治疗外伤性肾出血的临床应用[J]. 中国临床解剖学杂志, 2009, 27: 616 - 618.
[8] Pappas P, Leonardou P, Papadoukakis S, et al. Urgent superselective segmental renal artery embolization in the treatment of life-threatening renal hemorrhage[J]. Urologia, 2006, 77: 34 - 41.
[9] Maliha S, Boris R, Peter S, et al. Multislice CT-Angiography in percutaneous postinterventional hematuria and kidney bleeding: influence of diagnostic outcome on therapeutic patient manage-ment. preliminary results[J]. Arch Med Res, 2007, 38: 126 - 132.



 

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备注/Memo

备注/Memo:
收稿日期：２０１１０３２３
更新日期/Last Update: 2011-10-25