介入栓塞治疗外科性肾出血的疗效观察

Therapeutic effect of interventional embolization for surgical renal hemorrhage

目的探讨肾动脉介入栓塞术治疗外科性肾出血患者的临床效果.方法选取行肾动脉造影检查及介入栓塞治疗的外科性肾出血患者74例,分析其临床特点及转归.结果本组74例患者均顺利完成肾动脉造影检查,其中造影异常表现66例(89.2%),行介入栓塞治疗69例(93.2%).8例患者造影未见明显异常,其中3例患者进行预防性栓塞肾动脉.69例行介入栓塞治疗的患者中有66例(95.7%)取得良好效果,3例患者介入治疗后出血缓解不明显或缓解后再次出血,予再次介入栓塞治疗后好转.结论大部分外科性肾出血患者肾动脉造影可有异常表现,绝大多数患者行选择性肾动脉栓塞术治疗可获得良好的治疗效果,极少数需要二次介入治疗的患者也可获得满意疗效.

Objective To investigate the clinical effect of renal artery interventional embolization in the treatment of patients with surgical renal hemorrhage.Methods A total of 74 patients with surgical renal hemorrhage who underwent renal angiography and interventional embolization in the urological surgical department were selected.The clinical features and clinical outcomes were analyzed.Results All of 74 patients in this group successfully completed renal arteriography,angiographic abnormalities occurred in 66 cases(89.2%)and interventional embolization in 69 cases(93.2%).No obvious abnormality was found in 8 patients,three of whom received prophylactic embolization of renal artery.Out of 69 patients who underwent interventional embolization,66 patients(95.7%)achieved good results,three patients had no obvious relief in bleeding after interventional therapy or re-bleeding after relief.After a second interventional embolization,the patients were improved.Conclusion Most patients with surgical renal hemorrhage showed abnormal renal angiography,and the vast majority of patients can obtain good therapeutic effect by selective renal artery embolization,aminority of patients who require secondary intervention can also achieve satisfactory results.