选择性肾动脉造影及栓塞术在肾出血中的应用

The angiogradiaphic diagnosis and embolic treatment of renal bleeding

目的评价选择性肾动脉造影和栓塞对肾出血的诊断和治疗价值及保肾的意义。方法对5例不同原因血尿患者进行介入性诊断和选择性血管内栓塞治疗。结果5例均见造影剂外溢。其中4例见肾动脉分支截断，造影剂外溢并聚集成团。行栓塞治疗后止血，术后3～24小时尿液转清。8～12天IVP检查，伤肾泌尿功能保留良好。结论选择性肾动脉造影与栓塞是肾出血可靠的诊断及止血方法，并对保留伤肾功能具有重要意义。

Objectives To investigate the value of angiographic diagnosis and embolic treatment for renal bleeding and the preservation of renal function. Methods The angiographic diagnosis and selective embolization were performed in 5 cases with renal kleeding. Results The embolic treatment was performed in 5 patients with contrast medium extravasated. The clear urine was obtained within 3 - 24 hours after emlolixzation. All of the following IVP showed that the traumatic kidney functions were kept well. Conclusions The interventional radiologic method is reliable to diagnose and treat kidney bleeding and to preserve kidney function.