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肾活检后肾出血行肾动脉造影及栓塞治疗的临床应用价值
引用本文:许健,曹建民,卢光明,李成郎. 肾活检后肾出血行肾动脉造影及栓塞治疗的临床应用价值[J]. 上海医学影像, 2006, 15(3): 199-201
作者姓名:许健  曹建民  卢光明  李成郎
作者单位:210002,南京军区南京总医院医学影像科;210002,南京军区南京总医院医学影像科;210002,南京军区南京总医院医学影像科;210002,南京军区南京总医院医学影像科
基金项目:江苏省六大人才高峰基金
摘    要:
目的探讨肾动脉造影和栓塞治疗经保守治疗无效的创伤性肾出血的临床价值。方法对9例肾活检后肾出血病例行超选择血管造影和栓塞治疗,栓塞材料选用明胶海绵和弹簧圈。结果超选择性肾动脉造影明确了出血的部位、程度及相关血管的情况,为栓塞治疗提供了依据,9例肾出血患者栓塞后出血完全停止,并保留了患肾的部分组织和功能。结论选择性肾动脉造影与栓塞是肾活检后肾出血可靠的诊断方法,也是安全、有效的止血手段,并对保留患肾功能有重要意义。

关 键 词:经皮肾活检  肾出血  血管造影  栓塞

The clinical value of arterial angiography and embolization in the renal hemorrhage after kidney biopsies
XU Jian, CAO Jianming, LU Guangming,et al.. The clinical value of arterial angiography and embolization in the renal hemorrhage after kidney biopsies[J]. Shanghai Medical Imaging, 2006, 15(3): 199-201
Authors:XU Jian   CAO Jianming   LU Guangming  et al.
Affiliation:Department of Radiology, Nanjing General Hospital of Nanjing Military Command, PLA. Nanjing Jiangsu province 210002, China
Abstract:
Objective To assess the clinical value of angiographv and embolization in the renal hemorrhage after percutaneous kidney biopsies when conservative treatment failed. Methods Superselective angiographv and embolization were performed in 9 cases with the renal hemorrhage after percutaneous kidnev biopsies. Embolization materials were gelfoam or steel coils. Results Superselective angiographv can proivide definite diagnosis in location, extent and degree of hemorrhage. Embolization was successful in all patients and in the meantime the renal function was partially reserved. Conclusion Superselective renal arterial angiography and embolization, with good hemostatic efficacv and less complications, is a safe and effective method for the treatment of the hemorrhage after percutaneous kidnev biopsies.
Keywords:Percutaneous kidnev biopsies   Renal hemorrhage   Angiography   Embolism
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