经导管动脉栓塞术治疗巨大肾囊肿：两例报告
Transcatheter Arterial Embolization Therapy for Huge Renal Cysts: Two Case Reports.
作者信息
Toriu Naoya, Hoshino Junichi, Kobori Saeko, Watanabe Sun, Oguro Masahiko, Oshima Yoichi, Hiramatsu Rikako, Mizuno Hiroki, Ikuma Daisuke, Sekine Akinari, Hayami Noriko, Sumida Keiichi, Yamanouchi Masayuki, Hasegawa Eiko, Sawa Naoki, Takaichi Kenmei, Yanagita Motoko, Fujimaru Takuya, Sohara Eisei, Uchida Shinichi, Ubara Yoshifumi
机构信息
Nephrology Center, Toranomon Hospital, Tokyo, Japan.
Okinaka Memorial Institute for Medical Research, Tokyo, Japan.
出版信息
Case Rep Nephrol Dial. 2018 Apr 27;8(1):82-89. doi: 10.1159/000489088. eCollection 2018 Jan-Apr.
We encountered 2 patients with symptomatic huge simple renal cysts. In case 1, 4,000 mL of cyst fluid was drained via a catheter, but intracystic bleeding occurred immediately afterwards. Transcatheter arterial embolization (TAE) was performed, after which the bleeding stopped, and cyst drainage was repeated successfully. After 2 years, the total cyst volume was reduced from 11,775 mL to 75.4 mL. In case 2, TAE was performed prophylactically before drainage. Subsequently, 9,400 mL of fluid was removed from multiple cysts. After 1 year, the total cyst volume was reduced from 9,215 mL to 633 mL without bleeding. Based on these 2 cases, prophylactic TAE before drainage may be useful in patients with huge renal cysts.
我们遇到了2例有症状的巨大单纯性肾囊肿患者。病例1中，通过导管抽出了4000 mL囊液，但随后立即发生了囊内出血。进行了经导管动脉栓塞术（TAE），之后出血停止，并且成功地再次进行了囊肿引流。2年后，囊肿总体积从11775 mL减少至75.4 mL。病例2中，在引流前预防性地进行了TAE。随后，从多个囊肿中抽出了9400 mL液体。1年后，囊肿总体积从9215 mL减少至633 mL，且未发生出血。基于这2个病例，引流前预防性TAE可能对巨大肾囊肿患者有用。
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