| 超选择性肾动脉栓塞治疗严重肾出血的疗效评价 |
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| 引用本文： | 罗剑渊,王家平,李迎春,童玉云,杨青,王雪刚,李琳,陈富坤. 超选择性肾动脉栓塞治疗严重肾出血的疗效评价[J]. 介入放射学杂志, 2010, 19(3): 188-190 |
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| 作者姓名： | 罗剑渊 王家平 李迎春 童玉云 杨青 王雪刚 李琳 陈富坤 |
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| 作者单位： | 昆明医学院第二附属医院放射科介入室,650101 |
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| 摘 要： | 目的探讨超选择性肾动脉栓塞术治疗经保守治疗无效的严重肾出血的临床价值。方法回顾性分析111例采用超选择性肾动脉栓塞术治疗的严重肾出血患者的临床资料、栓塞方式、治疗和随访结果。结果本组患者治疗后效果满意,无严重并发症发生。一次栓塞成功106例(成功率为95.5%),术后第1～4d肉眼血尿消失。2例栓塞后休克得以控制,顺利实施了外科手术。3例栓塞后再发出血,经第2次栓塞血止。术后随访92例,平均37.4个月,患肾功能得到了最大程度的保护。结论超选择性肾动脉栓塞术是严重肾出血的一种安全有效的治疗方法,可同时保护健康的肾实质和肾功能。
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| 关 键 词： | 肾出血 超选择插管 超选择性肾动脉栓塞 |
The clinical value of super-selective renal arterial embolization for severe renal hemorrhage |
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| LUO Jian-yuan,WANG Jia-ping,LI Ying-chun,TONG Yu-yun,YANG Qing,WANG Xue-gang,LI Lin,CHEN Fu-kun. The clinical value of super-selective renal arterial embolization for severe renal hemorrhage[J]. Journal of Interventional Radiology, 2010, 19(3): 188-190 |
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| Authors: | LUO Jian-yuan WANG Jia-ping LI Ying-chun TONG Yu-yun YANG Qing WANG Xue-gang LI Lin CHEN Fu-kun |
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| Affiliation: | LUO Jian-yuan,WANG Jia-ping,LI Ying-chun,TONG Yu-yun,YANG Qing,WANG Xue-gang,LI Lin,CHEN Fu-kun. Department of Radiology,the Second Affiliated Hospital of Kunming Medical College,Kunming 650101,China |
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| Abstract: | Objective To evaluate super-selective renal arterial embolization (SRAE) in treating severe renal hemorrhage when conservative treatment had failed. Methods SRAE was performed in 111 patients with severe renal hemorrhage who had failed to respond the conservative management. The clinical data, the way of embolization, the medication and the follow-up findings were retrospectively analyzed. Results Excellent results were obtained in all patients after SRAE and no serious complications occurred. The technical... |
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| Keywords: | renal hemorrhage super-selective catheterization super-selective renal artery embolization |
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