前言目的研究创伤性肾出血在保守治疗无效情况下进行肾动脉栓塞的造影表现及栓塞治疗肾出血的方法。方法采用超选择性肾动脉栓塞术治疗31例肾损伤患者,所有病人在栓塞前都进行肾动脉造影证实诊断。栓塞材料以明胶海绵加金属钢圈。结果31例患者栓塞后,临床症状较快改善,1月后行静脉尿路造影检查,伤侧肾功能恢复。仅1例栓塞后仍有持续性血尿行肾切除。结论对创伤性肾出血病人,采用肾动脉栓塞治疗,止血效果好,能最大限度保护肾功能,并发症少,是目前治疗肾损伤出血的一种安全、有效的方法。
ObjectiveToevaluatethearteriographicfindingsandproceduresinrenalarteryembolizationoftraumaticrenalhemorrhageundertheconservativetreatmenttobenoneffectivecondition.MethodsThirty-onepatientswithtraumaticrenalhemorrhageweredemonstratedbyrenalarteriographybeforetheembolization.Embolizedmaterialsusedforthestudyweregelfoamandsteelcoils.ResultsFollowingrenalarteryembolization,theclinicalsymptomsinallpatientswerequicklyimprovedandintravenousurogrpahyat...
