论文部分内容阅读
目的：研究肾癌术前无水乙醇肾动脉栓塞，以减少肾癌术中出血，避免肿瘤扩散。方法：ｓｅｌｄｉｎｇｅｒ法，导管插入患肾动脉，以１ｍｌ／ｓ注射无水乙醇第１个５ｍｌ，０．５ｍｌ／ｓ注射第２个５ｍｌ，０．２ｍｌ／ｓ注射余下部分——呈递减速度注射无水乙醇１５～２０ｍｌ。结果：４６例栓塞成功，２例失败；１例无水乙醇返流导致肠系膜下动脉栓塞。结论：肾癌术前无水乙醇肾动脉栓塞安全、有效；以递减速度注射，可预防无水乙醇返流造成其他脏器栓塞的并发症。
OBJECTIVE: To study the preoperative absolute ethanol renal artery embolization in renal cell carcinoma in order to reduce intraoperative bleeding in renal cell carcinoma and avoid tumor spread. Methods: seldinger method, the catheter inserted into the renal artery, with 1ml / s injection of ethanol, the first 5ml, 0.5ml / s injection of the second 5ml, 0.2ml / s injection of the remaining part - showed deceleration injection Water ethanol 15 ~ 20ml. Results: 46 cases of embolization was successful, 2 cases failed; 1 case of ethanol reflux led to inferior mesenteric artery embolization. Conclusions: Preoperative absolute ethanol renal artery embolization in renal cell carcinoma is safe and effective. Injecting at a decreasing rate can prevent complications of embolization of other organs caused by ethanol reflux.