[1]刘凤永,王茂强,段峰,等.医源性肾血管损伤的急诊血管内栓塞治疗[J].介入放射学杂志,2007,(12):807.
 LIU Feng-yong,WANG Mao-qiang,DUAN Feng,et al.Emergent endovascular embolization of iatrogenic renal vascular injuries[J].journal interventional radiology,2007,(12):807.
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医源性肾血管损伤的急诊血管内栓塞治疗()

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

卷:
期数:
2007年12期
页码:
807
栏目:
血管介入
出版日期:
2007-12-15

文章信息/Info

Title:
Emergent endovascular embolization of iatrogenic renal vascular injuries
作者:
刘凤永王茂强段峰
100853北京中国人民解放军总医院介入科
Author(s):
LIU Feng-yongWANG Mao-qiangDUAN FengWANG Zhi-junWANG Zhong-pu.
Department of Interventional Radiology,General Hospital of PLA,Beijing100853,China
关键词:
肾脏损伤肾动脉造影术肾动脉治疗性栓塞介入治疗并发症
分类号:
R692.16
文献标志码:
A
摘要:
目的评价用介入技术治疗医源性肾血管损伤的安全性和疗效。方法对9例医源性肾血管损伤患者进行了超选择性肾动脉栓塞治疗。损伤原因有行肾脏穿刺活检术后5例、血管内介入治疗术后2例、经皮穿刺右肾盂造瘘术后1例、肾脏肿瘤局部切除术后1例。临床表现有失血性休克7例、患侧剧烈腰痛7例、血尿8例;CT和超声波检查发现肾脏周围血肿8例。栓塞材料用微型钢丝圈7例、普通钢丝圈2例,同时用聚乙烯醇微球5例、用明胶海绵碎粒2例。结果选择性肾动脉造影显示肾实质内动静脉瘘6例、假性动脉瘤2例、肾实质血管破裂对比剂外溢1例。本组9例均栓塞成功;治疗结束时复查造影显示异常血管消失,正常分支保留。7例失血症状明显者,栓塞后经给予补充血容量、失血症状迅速改善;7例剧烈腰痛者,术后2~4d腰痛消失;血尿8例,术后2~14d消失。术后原有肾功能不全加重3例、新出现肾功能不全2例,其中2例接受血液透析治疗。超声复查显示肾周围血肿于2~4个月逐渐吸收。随访6~78个月(平均38个月),4例死于原发疾病,5例健在、未再针对肾脏损伤进行外科或介入治疗,未再发生出血,血肌酐、尿素测定属正常范围。结论经导管选择性肾动脉分支栓塞术是治疗医源性肾脏血管损伤的安全、有效方法。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2007-06-14
更新日期/Last Update: 2007-12-15