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超选择性肾动脉栓塞术治疗肾损伤20例
引用本文:王共先,胡峰,熊礼生,陈卫民,孙庭,曹润福,冯亮,史文仁,谢平,梅真葆,王道仁,彭轼平,辜斌,曾庆娥,赵异才,左慧英,迟海波.超选择性肾动脉栓塞术治疗肾损伤20例[J].中华创伤杂志,2000,16(9):519-520.
作者姓名:王共先  胡峰  熊礼生  陈卫民  孙庭  曹润福  冯亮  史文仁  谢平  梅真葆  王道仁  彭轼平  辜斌  曾庆娥  赵异才  左慧英  迟海波
作者单位:1. 江西医学院第一附属医院泌尿外科,南昌,330006
2. 江西医学院第一附属医院介入室,南昌,330006
摘    要:目的:探讨超选择性肾动脉栓塞术治疗肾损伤的适应证,优点及注意事项,方法采用超选择性肾动脉栓塞术治疗20例肾损伤患者,其中外伤性肾损伤13例,复杂性肾结石取石手术和体外冲击波碎石术后肾损伤7例。结果10例患者于术后第1天肉眼血尿消失;6例于术后第4天消失;3例于术后第5天第2次栓塞术后血尿消失;1例栓塞术后仍有持续性血尿加重而行肾切除术。结论超选择性肾动脉栓塞术具有侵袭小、止血效果好、能最大限度保护

关 键 词:肾损伤  超选择性肾动脉栓塞术  病例报告
修稿时间:2000年8月2日

Super-selective renal artery embolization for the treatment of renal in juries
WANG Gongxian,HU Feng,XIONG Lisheng,et al..Super-selective renal artery embolization for the treatment of renal in juries[J].Chinese Journal of Traumatology,2000,16(9):519-520.
Authors:WANG Gongxian  HU Feng  XIONG Lisheng  
Institution:WANG Gongxian,HU Feng,XIONG Lisheng,et al. First Affiliated Hospital,Jiangxi Medical College,Nanchang 330006,China
Abstract:Objective To review and clarify the therapeutic effect and experience of super-selective renal artery embolization for the treatment of renal injueies. Methods Twenty patients with renal injuries were treated by super-selective renal artery embolization. Results After super-selective artery embolization, macroscopic hematuria disappeared on the first day postoperation in 10 cases, the fourth day in 6 cases. Three cases underwent nephrectomy because of persistent hematuria on the fifth day postoperatively. Conclusions Super-selective renal artery embolization, with advantages of less aggression, good hemostatic efficacy, and less complications, is a safe and effective method for the treatment of mild and moderate renal injuries.
Keywords:Wounds and injuries  Kidney  Arteries  Angiography  Embolization
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