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我们自1985年1月至1994年8月,采用选择性肾动脉栓塞术治疗严重肾损伤、肾错构瘤破裂和肾穿刺活检引起的重度肾出血15例,均获得了满意的效果。本组获得远期随访10例,平均随访38.3个月,其肾功能和血压均正常、我们体会,选择性肾动脉栓塞术对肾外伤出血是一种安全可靠和恰当的治疗方法,可最大限度地保留肾实质与肾功能。对栓塞术的适应证,肾外伤的CT与肾动脉造影特征,合并症、栓塞材料和技术进行了分析讨论。
We from January 1985 to August 1994, the use of selective renal artery embolization in the treatment of severe renal injury, rupture of renal hamartoma and renal biopsy caused severe renal bleeding in 15 cases, have obtained satisfactory results. The group received long-term follow-up of 10 cases, with an average follow-up of 38.3 months, the renal function and blood pressure were normal, we understand that selective renal artery embolization of renal trauma hemorrhage is a safe and reliable and appropriate treatment, Maximize the retention of renal parenchyma and renal function. Indications for embolization, renal CT and renal artery angiography features, complications, embolization materials and techniques were analyzed and discussed.