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1969年Lalli先报道肾动脉栓塞的动物实验研究;1971年Lang首次报道用放射性金的颗粒作肾动脉栓塞以图提高对肾癌根治的效果;Almgard等也在1971年动物实验的基础上,利用选择性肾动脉插管注入自体肌肉块作肾动脉栓塞治疗肾癌,先后19例均无严重并发症,并于1973年作了报道。此后,关于应用此项技术治疗肾癌及肾脏出血等疾病的报告逐渐增多。我国自1979年上海华山医院成功地将此项技术用于临床并于1981年作了报道此后有少数大城市的医院也陆续开展了此项疗法,到1982年底为止,已报道的27例中,治疗肾肿瘤19例,肾出血8例,均取得良好效果。我院于1982年3月～8月,应用肾动脉栓塞术治疗肾恶性肿瘤6例,取得良好效果。现报道如下,并结合文献对有关问题进行初步讨论。
In 1969, Lalli first reported the experimental study of renal artery embolism. In 1971 Lang first reported the use of radioactive gold particles for renal artery embolization in order to improve the effect of radical nephrectomy. Almgard and others also based on animal experiments in 1971, Selective renal artery intubation of autologous muscle mass for renal artery embolization in the treatment of renal cell carcinoma, 19 cases were no serious complications, and was reported in 1973. Since then, the application of this technology for the treatment of renal cancer and kidney bleeding and other diseases are gradually increasing reports. Since 1979, Huashan Hospital in Shanghai successfully applied this technology to clinical and made a report in 1981. Since then, a few large cities hospitals have also carried out the therapy one after another. By the end of 1982, of the 27 cases reported, 19 cases of renal tumors were treated, 8 cases of renal bleeding, all achieved good results. Our hospital in March 1982 ~ August, the application of renal artery embolization in the treatment of 6 cases of renal cancer, and achieved good results. Are reported below, combined with the literature on the initial discussion of the issue.