| 超选择性肾动脉栓塞治疗巨大型肾血管平滑肌脂肪瘤 |
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| 引用本文： | 王承恩,范则杨,杨敏,佟小强,王健,关海涛,宋莉,邹英华.超选择性肾动脉栓塞治疗巨大型肾血管平滑肌脂肪瘤[J].中国介入影像与治疗学,2018,15(6):327-330. |
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| 作者姓名： | 王承恩 范则杨 杨敏 佟小强 王健 关海涛 宋莉 邹英华 |
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| 作者单位： | 北京大学第一医院介入血管外科 |
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| 摘 要： | 目的评价超选择性肾动脉栓塞(SRAE)治疗巨大型肾血管平滑肌脂肪瘤(RAML)的临床疗效及安全性。方法回顾性分析16例接受SRAE治疗且临床资料完整的巨大型RAML患者的资料,对比分析治疗前后患者临床症状、肿瘤大小、肾功能变化及并发症情况。结果对16例患者共进行26次SRAE治疗,技术成功率100%(26/26);其中1次治疗7例(7/16,43.75%),2次治疗8例(8/16,50.00%),3次治疗1例(1/16,6.25%)。治疗后平均随访(16.60±15.60)个月。至末次随访复查时,瘤体最大径(9.00±2.80)cm]较治疗前(12.60±2.40)cm]明显缩小(t=12.41,P0.01),SRAE治疗后患者腰痛、血尿症状均好转,肌酐水平(79.10±12.80)μmol/L]与治疗前(76.00±14.90)μmol/L]差异无统计学意义(t=0.89,P=0.39)。14例(14/16,87.50%)SRAE治疗后1~3天出现不同程度发热、局部疼痛或恶心等症状,无严重并发症发生。结论 SRAE可有效控制巨大型RAML破裂出血,缓解RAML相关临床症状,同时可在较大程度上保留正常肾单位。
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| 关 键 词： | 血管平滑肌脂肪瘤 栓塞 治疗性 治疗结果 并发症 |
| 收稿时间： | 2017/8/17 0:00:00 |
| 修稿时间： | 2018/3/5 0:00:00 |
Super-selective renal arterial embolization in treating huge renal angiomyolipoma |
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| WANG Cheng''en,FAN Zeyang,YANG Min,TONG Xiaoqiang,WANG Jian,GUAN Haitao,SONG Li and ZOU Yinghua.Super-selective renal arterial embolization in treating huge renal angiomyolipoma[J].Chinese Journal of Interventional Imaging and Therapy,2018,15(6):327-330. |
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| Authors: | WANG Cheng'en FAN Zeyang YANG Min TONG Xiaoqiang WANG Jian GUAN Haitao SONG Li and ZOU Yinghua |
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| Institution: | Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China,Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China,Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China,Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China,Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China,Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China,Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China and Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China |
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| Abstract: | |
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| Keywords: | Angiomyolipoma Embolization therapeutic Treatment outcome Complications |
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