[1]付志刚,冯 丹,张晓磷,等. 肾动静脉畸形九例的DSA造影表现及介入栓塞治疗[J].介入放射学杂志,2013,(11):946-949.
 FU Zhi? gang,FENG Dan,ZHANG Xiao? lin,et al. DSA manifestations and interventional embolization therapy of renal arteriovenous malformation: report of nine cases[J].journal interventional radiology,2013,(11):946-949.
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 肾动静脉畸形九例的DSA造影表现及介入栓塞治疗 ()

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

卷:
期数:
2013年11期
页码:
946-949
栏目:
临床研究
出版日期:
2013-11-15

文章信息/Info

Title:
 DSA manifestations and interventional embolization therapy of renal arteriovenous malformation: report of nine cases
作者:
 付志刚 冯 丹 张晓磷 鲁 际 陈晓林 余成新 谭光喜
Author(s):
 FU Zhi?蛳 gang FENG Dan ZHANG Xiao?蛳 lin LU Ji CHEN Xiao?蛳 lin YU Chen?蛳 xin TAN Guang?蛳 xi.
 Department of Interventional Radiology, Yichang Municipal Central People’s Hospital, the First College of Clinical Medical Science, Three Gorges University, Yichang, Hubei Province 443003, China
关键词:
 【关键词】 肾动静脉畸形 数字减影血管造影术 介入栓塞治疗
文献标志码:
A
摘要:
 【摘要】 目的 探讨肾动静脉畸形(AVM)DSA造影诊断及介入栓塞治疗的价值。方法 回顾性分析2007年1月至2013年1月9例突发性全程肉眼血尿患者。DSA选择性或超选择性造影明确诊断为肾AVM,并了解病变性质、部位、范围、程度,然后选择靶血管进行栓塞治疗。栓塞材料包括海绵颗粒、丝线颗粒及弹簧圈。栓塞方式:丝线颗粒结合海绵颗粒;丝线颗粒、海绵颗粒结合弹簧圈;单纯弹簧圈等。术后随访1 ~ 24个月。结果 9例患者经DSA明确诊断为静脉曲张型肾AVM,清晰显示供血动脉、引流静脉及畸形血管团。病变位于左肾3例,右肾6例。8例成功进行栓塞治疗,1例病变范围广泛且伴健侧肾重度萎缩放弃治疗。采取丝线颗粒结合海绵颗粒栓塞1例,丝线颗粒、海绵颗粒结合弹簧圈6例,单纯弹簧圈栓塞1例。术后肉眼血尿明显减轻,36 h内消失。随访期间未见血尿复发及严重并发症发生。结论DSA是诊断肾AVM的金标准,介入栓塞治疗具有微创、疗效好等特点,可作为该疾病的首选治疗方案。

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备注/Memo

备注/Memo:
 (收稿日期:2013-05-08)
更新日期/Last Update: