[1]陈 卫,倪才方,王 煊【. 血管内栓塞治疗肾脏良性血管性病变[J].介入放射学杂志,2012,(04):293-296.
 ,Transcatheter endoluascular embolization for the treatment of benign renal vascular lesions [J].journal interventional radiology,2012,(04):293-296.
点击复制

 血管内栓塞治疗肾脏良性血管性病变 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2012年04期
页码:
293-296
栏目:
血管介入
出版日期:
2012-04-28

文章信息/Info

Title:
Transcatheter endoluascular embolization for the treatment of benign renal vascular lesions  
作者:
 陈 卫 倪才方 王 煊【
Author(s):
 CHEN Wei NI Caifang WANG Xuan.  
 Department of Intervention Radiology, the First People′s Hospital, Huaian City, Anhui Province 223300, China
关键词:
 【关键词】 肾疾病 良性病变 栓塞 治疗性 介入性
文献标志码:
A
摘要:
 摘要】 目的 探讨选择性肾动脉栓塞治疗肾脏良性血管病变的临床价值。方法 收集2008年3月至2011年7月肾脏良性血管病变患者27例,其中肾损伤12例(外伤8例,医源性损伤4例),肾血管畸形10例(动静脉畸形5例,动静脉瘘3例,动脉瘤2例),肾血管平滑肌脂肪瘤3例,多囊肾2例。27例中,血尿19例,腹部疼痛15例,腰部酸痛3例,低血压休克3例。术前均进行CT或MRI检查明确诊断。采用Seldinger技术穿刺行股动脉插管,先行肾动脉造影,了解病变性质、部位、范围、程度及血供情况,然后超选择插管至病变处,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。术后随防1 ~ 36个月。结果 27例患者均由肾动脉参与病变供血。介入治疗后所有患者临床症状消失。随访中,除1例多囊肾患者栓塞后2个月又出现血尿外,其余患者均无相关临床症状复发,CT显示栓塞满意。结论 血管内栓塞治疗肾良性血管性病变安全有效、创伤小、并发症少,并能最大程度地保护肾功能,是可靠的治疗方法。

参考文献/References:

[1]   李彦豪. 实用临床介入诊疗图解[M]. 2版. 北京: 科学出版社, 2007: 506  531.
[2]   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.
[3]   王精兵, 王   悍, 安   潇, 等. 超选择性节段性肾动脉栓塞治疗肾血管平滑肌脂肪瘤破裂出血[J]. 介入放射学杂志, 2008, 17: 635  638.
[4]  Chatziioannou A, Brountzos E, Primetis E, et al. Effects of superselective embolization for renal vascular injuries on renal parenchyma and function[J]. Eur J Vasc Endovasc Surg, 2004, 28: 201  206.
[5]  Kubota Y, Tsuchiya T, Kamei S, et al. Transcatheter arterial embolization with Nbutyl2cyanoacrylate(Hystoacryl)in two treatments for huge renal arteriovenous malformation[J]. Hinyokika Kiyo, 2007, 53: 307  310.
[6]  Osawa T, Watarai Y, Morita K, et al. Surgery for giant highflow renal arteriovenous fistula: experience in one institution [J]. BJU Int, 2006, 97: 794  798.
[7]   伍筱梅, 陈卫国, 赖   清, 等. 肾动静脉瘘的选择性血管造影与栓塞治疗[J]. 中华泌尿外科杂志, 2003, 24: 296  299.
[8]  Bishay VL, Crino PB, Wein AJ, et al. Embolization of giant renal angiomyolipomas: technique and results[J]. J Vasc Interv Radiol, 2010, 21: 67  72.

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(04):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(04):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(04):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(04):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(04):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(04):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(04):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(04):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(04):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(04):190.
[11]孟小茜,董伟华,叶朝阳,等. CT静脉造影在血透患者中心静脉狭窄或闭塞介入治疗中的价值[J].介入放射学杂志,2012,(06):465.
 MENG Xiao- xi,DONG Wei- hua,YE Zhao- yang,et al. The application of CT venography in interventional treatment of central vein stenosis or occlusion in hemodialysis patients[J].journal interventional radiology,2012,(04):465.
[12]高 堃,王剑锋,李 惠,等. 血液透析患者中心静脉狭窄的介入治疗[J].介入放射学杂志,2012,(07):582.
 GAO Kun,WANG Jian- feng,LI Hui,et al. Interventional treatment of central vein stenosis in hemodialysis patients[J].journal interventional radiology,2012,(04):582.

备注/Memo

备注/Memo:
(收稿日期:2011-10-04)
更新日期/Last Update: