[1]段 跃,徐庆康,周 涛,等.选择性肾动脉栓塞治疗损伤性肾出血[J].介入放射学杂志,2013,(03):231-234.
 DUAN Yue,XU Qing? kang,ZHOU Tao,et al.Super- selective renal artery embolization for the treatment of traumatic renal hemorrhage[J].journal interventional radiology,2013,(03):231-234.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年03期
页码:
231-234
栏目:
临床研究
出版日期:
2013-03-25

文章信息/Info

Title:
Super- selective renal artery embolization for the treatment of traumatic renal hemorrhage
作者:
段 跃 徐庆康 周 涛 于田强 洪 翔 孙先军 杨 益 李晓强
Author(s):
DUAN Yue XU Qing?蛳 kang ZHOU Tao YU Tian?蛳 qiang HONG Xiang SUN Xian?蛳 jun YANG Yi LI Xiao?蛳 qiang.
Department of Vascular Surgery, Second Affiliated Hospital, Suzhou University, Suzhou 215004, China
关键词:
【关键词】 肾脏 肾动脉 栓塞 创伤和损伤 出血
文献标志码:
A
摘要:
【摘要】 目的 观察选择性肾动脉栓塞治疗急性损伤性肾出血的疗效。方法 回顾性分析2008年6月—2011年12月32例损伤性肾出血行选择性肾动脉栓塞治疗情况,其中包括肾挫裂伤18例,肾部分切除术术后出血2例,经皮肾镜术后出血12例。结果 31例患者一次栓塞成功,1例患者栓塞术后第5天再次出血行第2次栓塞术后血尿消失。术后随访2 ~ 40个月,未见肾出血再发,1例出现肾周尿液囊肿;2例肾脏体积缩小,该2例均为Ⅴ级肾挫裂伤患者。随访期间无肾脓肿、肾性高血压及肾功能异常发生。结论 选择性肾动脉栓塞是治疗急性损伤性肾出血微创、有效、安全的治疗方法。

参考文献/References:

[1] Razali MR, Azian AA, Amran AR, et al. Computed tomography of blunt renal trauma[J]. Sinngapore Med J, 2010, 51: 468 ?蛳 473.[2] Breyer BN, Mcaninch JW, Elliott SP, et al. Minimally invasive endovascular techniques to treat acute renal hemorrhage[J]. J Urol, 2008, 179: 2248 ?蛳 2252.[3] Sahai A, Cuthbert F, Niekrash R, et al. Endovascular management of grade V blunt renal trauma with associated splenic injury[J]. Nat Rev Urol, 2009, 6: 335 ?蛳 337.[4] Brewer ME Jr, Strnad BT, Daley BJ, et al. Percutaneous embolization for the management of grade 5 renal trauma in hemodynamically unstable patients: initial experience[J]. J Urol, 2009, 181: 1737 ?蛳 1741.[5] Preminger GM, Assimos DG, Lingeman JE, et al. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations[J]. J Urol, 2005, 173: 1991 ?蛳 2000.[6] He YZ, Liu JH, Zeng GH, et al. Analysis of the cause of hemorrhage after MPCNL and its interventional treatment[J]. China J Urol, 2006, 27: 371 ?蛳 373.[7] 汪金荣, 何乐业, 蒋先镇, 等. 微创经皮肾镜取石术后大出血的介入治疗[J]. 中国内镜杂志, 2008, 14: 22 ?蛳 23, 26.[8] Rokni Yazdi H, Moharamzad Y. Endovascular treatment of renal arteriovenous fistula following a stab wound[J]. Urol J, 2008, 5: 129 ?蛳 131.[9] 朱 彬. 超选择性肾动脉栓塞治疗急性肾出血[J]. 介入放射学杂志, 2011, 20: 815 ?蛳 818.[10]胡庭杨, 周 兵, 俞文强, 等. 急性肾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, 19: 435 ?蛳 438.

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备注/Memo

备注/Memo:
(收稿日期:2012-10-03)
更新日期/Last Update: