[1]许 敏,蒋天鹏,宋 杰,等.医用胶栓塞肾脏假性动脉瘤疗效分析[J].介入放射学杂志,2015,(06):472-475.
 XU Min,JIANG Tian - peng,SONG Jie,et al.Transcatheter arterial embolization with medical glue for the treatment of renal pseudoaneurysm: analysis of therapeutic effect[J].journal interventional radiology,2015,(06):472-475.
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医用胶栓塞肾脏假性动脉瘤疗效分析()

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

卷:
期数:
2015年06期
页码:
472-475
栏目:
血管介入
出版日期:
2015-06-25

文章信息/Info

Title:
Transcatheter arterial embolization with medical glue for the treatment of renal pseudoaneurysm: analysis of therapeutic effect
作者:
许 敏 蒋天鹏 宋 杰 安天志 吴晓萍 周 石
Author(s):
XU Min JIANG Tian - peng SONG Jie AN Tian - zhi WU Xiao - ping ZHOU Shi
Department of Radiology, the Affiliated Hospital of Guiyang Medical College, Guiyang, Guizhou Province 550004, China
关键词:
【关键词】 肾脏 假性动脉瘤 液体医用胶 栓塞
文献标志码:
A
摘要:
【摘要】 目的 探讨液体医用胶结合微导管超选择插管技术栓塞治疗肾脏假性动脉瘤的安全性及有效性。方法 回顾性分析2009年10月至2014年1月肾动脉造影诊断为肾脏假性动脉瘤并接受福爱乐医用胶栓塞出血血管的23例患者临床资料。23例患者有28枚肾脏假性动脉瘤(18例医源性损伤患者有21枚, 5例外伤患者有7枚),均经3 F微导管超选择插管至肾脏假性动脉瘤载瘤动脉,造影明确后在减影下经微导管向假性动脉瘤内注入福爱乐医用胶-碘化油1 ∶ 1混合液栓塞出血血管。观察假性动脉瘤栓塞成功率、术后血尿及肾功能。结果 23例28枚肾脏假性动脉瘤均栓塞成功,福爱乐医用胶平均用量0.4 ml(0.2~1 ml)。3例患者载瘤动脉邻近3级分支血管出现异位栓塞,无2级分支血管及肾动脉主干血管异位栓塞。1例假性动脉瘤直径>2 cm患者术后2 d持续存在血尿,再次造影后于载瘤动脉补充塔形弹簧圈1枚,出血停止。其余患者在3个月随访期间均未再出现血尿情况。4例术后血清肌酐有轻度升高。结论 福爱乐医用胶结合微导管超选择插管栓塞肾脏假性动脉瘤迅速,栓塞成功率高,术后再出血发生率低,疗效确切。

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备注/Memo

备注/Memo:
(收稿日期:2014 -10-15)
(本文编辑:边 佶)
更新日期/Last Update: 2015-06-24