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目的探讨超选择肾动脉栓塞术治疗创伤性肾出血的临床疗效,评价该手术对肾功能的短期及中期影响。方法本组确诊创伤性肾出血患者15例,外伤7例,医源性损伤8例。采用超选择肾动脉插管技术,根据造影结果及治疗需要选择合适栓塞材料对靶血管实施栓塞。结果术后24 h血尿停止;短期手术成功率及临床止血率100%;肾功能无明显损害(P>0.05),血红蛋白较术前明显升高(P<0.05);中期临床止血率100%;肾功能检查未提示肾功能不全。结论超选择性肾动脉栓塞术治疗创伤性肾出血,止血效果明显,对肾功能影响较小,安全性高,是一种比较理想的治疗方法。
Objective To investigate the clinical effects of over-selected renal artery embolization in the treatment of traumatic renal hemorrhage and to evaluate the short-term and mid-term effects of this operation on renal function. Methods 15 cases of traumatic renal hemorrhage diagnosed in this group, 7 cases of trauma, iatrogenic injury in 8 cases. Using superselective renal artery cannulation technology, according to the angiography results and treatment needs to choose the right embolic material embolization of the target vessel. Results The hematuria stopped at 24 hours after operation. The success rate of short-term operation and the rate of clinical hemostasis were 100%. There was no significant difference in renal function (P> 0.05) and hemoglobin was significantly higher than that before operation (P <0.05) Renal function tests did not prompt renal insufficiency. Conclusion Superselective renal artery embolization for the treatment of traumatic renal hemorrhage, hemostatic effect is obvious, less impact on renal function, high safety, is an ideal treatment.