无水乙醇碘油混合液栓塞治疗肾血管平滑肌脂肪瘤的疗效分析

目的探讨无水乙醇碘油混合液介入栓塞治疗肾血管平滑肌脂肪瘤的价值。方法回顾性分析我院采用无水乙醇碘油混合液栓塞治疗肾血管平滑肌脂肪瘤患者24例的资料,分析介入手术成功率,术后症状缓解、术后并发症及栓塞前后瘤体大小情况。结果 24例患者共30个病灶,介入栓塞治疗29个病灶,另1个病灶较小,择期处理,介入栓塞手术成功率100%。患者腰部疼痛、血尿症状术后均逐渐减轻、消失;患者栓塞术后出现不同程度的栓塞后综合征,其中发热12例(12/24,50%)、腹痛腹胀10例(10/24,41.67%)、恶心呕吐10例(10/24,41.67%),无严重并发症发生。随访6~12个月,瘤体最大径术前为(8.13±3.51)cm,术后为(5.29±2.18)cm,差异有统计学意义(P0.05)。结论无水乙醇碘油混合液介入栓塞治疗肾血管平滑肌脂肪瘤疗效确切,安全有效,创伤小,值得临床推广应用。

Analysis on effect of anhydrous alcohol and iodine oil mixture in treatment of renal angiomyolipoma

Objective To explore the value of interventional embolization in treatment of renal angiomyolipoma with anhydrous alcohol and iodine oil mixture. Methods Totally 24 patients with renal angiomyolipoma treated with anhydrous alcohol and iodine oil mixture were analyzed retrospectively, and the success rate of interventional operation, the relief of postoperative symptoms, the postoperative complication and the size of tumor were summed up. Results Twenty four patients with 30 lesions were included, of which 29 lesions accept interventional embolization treatment, one lesion was smaller, accept elective treatment. The success rate of interventional embolization was 100%. Lumbar pain, hematuria after operation the symptoms gradually disappeared. Patients after embolization appeared different degrees of postembolization syndrome, such as febrile in 12 cases (12/24, 50.00%), abdominal distension and pain in 10 cases (10/24, 41.67%), nausea, vomiting in 10 cases (10/24, 41.67%), no serious complication occurred. After 6-12 months following-up, postoperative tumor maximum diameter (8.13±3.51]cm) reduced compared with preoperative (5.29±2.18]cm, P<0.05). Conclusion The interventional embolization of renal angiomyolipoma with anhydrous alcohol and iodine oil mixture is effective, safe and minimally invasive, which is worthy of clinical application.