[1]胡庭杨,周兵,俞文强,等.急性肾脏出血合并肾功能不全的超选择性肾动脉栓塞:临床疗效和安全性分析[J].介入放射学杂志,2010,(06):435.
 HU Tingyang,ZHOU Bing,YU Wenqiang,et al.Superselective transcatheter renal arterial embolization for acute renal bleeding in patients with renal insufficiency:its clinical efficacy and safety[J].journal interventional radiology,2010,(06):435.
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急性肾脏出血合并肾功能不全的超选择性肾动脉栓塞:临床疗效和安全性分析()

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

卷:
期数:
2010年06期
页码:
435
栏目:
血管介入
出版日期:
2010-06-15

文章信息/Info

Title:
Superselective transcatheter renal arterial embolization for acute renal bleeding in patients with renal insufficiency:its clinical efficacy and safety
作者:
胡庭杨周兵俞文强
310014浙江省人民医院放射科介入病房
Author(s):
HU Ting-yangZHOU BingYU Wen-qiangLUO Zu-yanMAO Ying-minCHEN Fang-hongLI Bo YUAN Jian-hua
Zhejiang Provincial People’s Hospital,Hangzhou,Zhejiang Province310014,China
关键词:
肾脏出血肾功能不全栓塞安全性
分类号:
R692.16
文献标志码:
A
摘要:
目的探讨超选择性肾动脉栓塞在治疗急性肾脏出血合并肾功能不全患者的疗效及并发症,评价其对肾功能的影响。方法回顾性分析2000年1月至2009年12月接受肾动脉栓塞并有完整临床及影像学资料的13例合并肾功能不全的急性肾出血患者,重点分析栓塞的临床疗效、栓塞前后肾功能变化及栓塞范围和并发症的关系。结果所有患者均获成功栓塞,技术成功率100%,平均栓塞范围22%。术后3d患者血红蛋白、红细胞压积、血压、心率有所恢复,前后相比差异均有统计学意义(P均<0.01)。与术前相比,术后3d肌酐水平增高(P=0.000),尿素氮轻度降低(P=0.346),术后7d,肌肝呈轻度降低(P>0.05),BUN则降低明显(P=0.011)。5例出现栓塞后综合征,1例肾功能进行性恶化,最后接受透析治疗。发生并发症患者的栓塞范围较大(U=1.500,P=0.006)。结论超选择性肾动脉栓塞治疗急性肾脏出血合并肾功能不会明显加重肾功能恶化,控制栓塞范围是减少并发症的最重要措施。

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备注/Memo

备注/Memo:
收稿日期:2010-02-10
更新日期/Last Update: 2010-06-15