本文選題：醫(yī)源性損傷 + 動靜脈瘺�。� 參考：《中國介入影像與治療學》2017年08期

【摘要】：目的探討超選擇性腎動脈栓塞治療醫(yī)源性腎假性動脈瘤及動靜脈瘺的有效性及安全性。方法 29例經(jīng)保守治療無效的醫(yī)源性腎假性動脈瘤及動靜脈瘺患者經(jīng)DSA檢查,明確出血部位、特點后行超選擇性腎動脈栓塞治療。監(jiān)測栓塞后病情變化,評估栓塞效果,評價栓塞前后腎功能變化,記錄并發(fā)癥。結(jié)果 29例患者中23例單純使用彈簧圈栓塞,6例應用彈簧圈+PVA顆粒進行栓塞,首次腎動脈栓塞技術成功率為100%(29/29),臨床成功率為96.55%(28/29)。患者栓塞前后肌酐分別為(93.26±28.79)mmol/L和(91.51±27.68)mmol/L,差異無統(tǒng)計學意義(t=1.28,P=0.22)。無腎膿腫、腎功能衰竭等嚴重并發(fā)癥出現(xiàn)。結(jié)論超選擇介入栓塞治療醫(yī)源性腎假性動脈瘤及動靜脈瘺技術成功率高、臨床有效,并且對腎功能無明顯影響,是一種安全有效的治療方法。
[Abstract]:Objective to evaluate the efficacy and safety of superselective renal artery embolization in the treatment of iatrogenic renal pseudoaneurysm and arteriovenous fistula. Methods 29 cases of iatrogenic pseudoaneurysm and arteriovenous fistula were examined by DSA. The location of bleeding was determined and then superselective renal artery embolization was performed. Monitoring the state of disease after embolization, evaluating the effect of embolization, evaluating the changes of renal function before and after embolization, and recording the complications. Results among 29 patients, 23 cases were embolized by coil and 6 cases were embolized by coil PVA. The first successful rate of renal artery embolization was 100% 29 / 29, and the clinical success rate was 96.55% 28 / 29%. The creatinine levels before and after embolization were 93.26 鹵28.79)mmol/L and 91.51 鹵27.68 mmol / L, respectively. No renal abscess, renal failure and other serious complications occurred. Conclusion superselective interventional embolization is a safe and effective method for the treatment of iatrogenic pseudoaneurysm and arteriovenous fistula.
【作者單位】： 北京市順義區(qū)醫(yī)院介入治療中心;北京大學第一醫(yī)院介入血管外科;
【分類號】：R692

【參考文獻】

相關期刊論文 前4條

1 牛國晨;楊敏;宋莉;佟小強;閆子光;鄒英華;;腎動靜脈瘺的腔內(nèi)治療[J];中國介入影像與治療學;2016年06期

2 侯振國;路延平;張孟增;趙欣;;經(jīng)皮腎鏡取石術后腎出血的選擇性腎動脈造影和栓塞治療[J];中國介入影像與治療學;2015年07期

3 徐偉;王宏輝;王法;王勝;張賀誠;;急診經(jīng)導管動脈栓塞術治療醫(yī)源性腎動脈出血[J];中國介入影像與治療學;2013年10期

4 熊斌;江廣斌;鄭傳勝;馮敢生;梁惠民;葉天和;;超選擇性動脈栓塞在醫(yī)源性腎\，

本文編號：1824363