肾脏外科疾病的TEA疗效观察(附11例报告)

The effect of TAE on renal surgical diseases(a report of 11 cases)

目的 :观察经导管血管内栓塞(TAE)治疗肾脏外科部分疾病的疗效。材料和方法 :收集11例肾损伤 ,肾血管畸形和肾癌病例 ,使用不同的栓塞剂 ,根据不同的病情进行1～3次TAE。结果 :肾损伤及肾血管畸形治愈 ,肾癌病人症状有阶段性缓解 ,但1～2年的生存率似无明显提高。结论 :肾实质部分组织的严重损伤 ,TAE应列为首选治疗方法。肾血管畸形应较彻底栓塞供血的分支动脉 ,才能达到治疗目的。肾癌病人的TAE ,更适合那些有血尿等症状的病例。

Objective:To investigate the effect of transcatheter arterial embolizaion(TAE) on some surgical diseases of kidney.Materials and Methods:Eleven cases were treated,including renal trauma,vasomalformation and carcinoma.According to disease,different embolic agent and TAE frequency(1-3 times)were chosen.Results:Renal trauma and vasomalformation were cured.The symptoms of renal cancer were relieved,but the survival rate of 1-2 years didnt increase.Conclusions:TAE was the best method for severe renal trauma.To recover renal vasomalformation,the abnormal vessels must be embolised completely.For renal carcinoma,TAE was more suitable to patients with hematuria.