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目的讨论介入性栓塞对肾创伤性出血的治疗价值及对保留伤肾功能的意义。方法对１６例不同原因肾创伤性血尿进行介入性诊断和选择性血管内栓塞治疗。结果术后最早２小时，一般２０小时内血尿停止，尿液变清。１６例病人中３例未发现血管异常，１例血管闭塞，１２例造影剂外溢病人行栓塞治疗后止血。２例复发第二次栓塞，其中１例较大动静脉瘘者，因再次出血而行伤肾切除。其他病人栓塞术后近期ＩＶＰ复查，伤肾泌尿功能保留良好。结论介入放射学诊断与栓塞是肾创伤性出血可靠的诊断及止血方法，并对保留伤肾泌尿功能具有重要意义。
Objective To discuss the therapeutic value of interventional embolization on renal traumatic hemorrhage and its significance on preserving renal function. Methods Interventional diagnosis and selective endovascular embolization were performed on 16 cases of renal traumatic hematuria of different causes. Results The first 2 hours after surgery, usually within 20 hours of hematuria stopped, urine cleared. Three of the 16 patients had no vascular abnormalities, one had vascular occlusion, and 12 patients had a hemostatic effect after thromboembolic embolization. Two cases of recurrent second embolization, including one case of larger arteriovenous fistula, due to rebleeding and renal injury. Other patients after IVP recent embolization review, renal injury and urinary tract retention well. Conclusions Interventional radiology and embolization are the reliable methods for diagnosis and hemostasis of renal traumatic hemorrhage. They are important for preserving urinary function of injured kidney.