本文選題：醫(yī)源性損傷 + 動(dòng)靜脈瘺　； 參考：《中國(guó)介入影像與治療學(xué)》2017年08期

【摘要】：目的探討超選擇性腎動(dòng)脈栓塞治療醫(yī)源性腎假性動(dòng)脈瘤及動(dòng)靜脈瘺的有效性及安全性。方法 29例經(jīng)保守治療無(wú)效的醫(yī)源性腎假性動(dòng)脈瘤及動(dòng)靜脈瘺患者經(jīng)DSA檢查,明確出血部位、特點(diǎn)后行超選擇性腎動(dòng)脈栓塞治療。監(jiān)測(cè)栓塞后病情變化,評(píng)估栓塞效果,評(píng)價(jià)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(yīng)用彈簧圈+PVA顆粒進(jìn)行栓塞,首次腎動(dòng)脈栓塞技術(shù)成功率為100%(29/29),臨床成功率為96.55%(28/29)�；颊咚ㄈ昂蠹◆謩e為(93.26±28.79)mmol/L和(91.51±27.68)mmol/L,差異無(wú)統(tǒng)計(jì)學(xué)意義(t=1.28,P=0.22)。無(wú)腎膿腫、腎功能衰竭等嚴(yán)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(dòng)脈瘤及動(dòng)靜脈瘺技術(shù)成功率高、臨床有效,并且對(duì)腎功能無(wú)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(xué)第一醫(yī)院介入血管外科;
【分類號(hào)】：R692

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相關(guān)期刊論文 前4條

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本文編號(hào)：1824363