Togashi M, Chikaraishi T, Kakizaki H, Kanagawa K, Kashiwagi A, Kobayashi S, Seki T, Koyanagi T, Kanno T, Harada H
Department of Urology, Hokkaido University School of Medicine.
Hinyokika Kiyo. 1991 Sep;37(9):989-94.
Five cases of renal arteriovenous fistula which were treated by renal-sparing procedures are reported. Transcatheter arterial embolization was performed in three cases of circoid type arteriovenous fistula. Gross hematuria stopped immediately after the treatment in these three cases. Another two patients, whose arteriovenous fistula were aneurysmal type, were treated by ligation of the feeding artery. Although there were no symptoms after the surgery, the follow-up renal arteriography revealed the residue of a small amount of arteriovenous fistula in one of the aneurysmal type cases. We suggest that the renal arteriovenous fistula be classified into circoid type and aneurysmal type in the diagnosis for the appropriate treatment of renal arteriovenous fistula. It is important to select the renal-sparing procedure according to the type of renal arteriovenous fistula.
本文报告了5例采用保留肾单位手术治疗的肾动静脉瘘病例。3例环状型动静脉瘘患者接受了经导管动脉栓塞术。这3例患者治疗后肉眼血尿立即停止。另外2例患者的动静脉瘘为动脉瘤型，接受了供血动脉结扎术。虽然术后无症状，但随访肾动脉造影显示其中1例动脉瘤型病例仍残留少量动静脉瘘。我们建议，在肾动静脉瘘的诊断中，将其分为环状型和动脉瘤型，以便进行适当治疗。根据肾动静脉瘘的类型选择保留肾单位手术很重要。
