Park J H, Kim W S, Han M C, Lee C W
Department of Radiology and Urology, College of Medicine, Seoul National University, Korea.
J Korean Med Sci. 1987 Mar;2(1):13-8. doi: 10.3346/jkms.1987.2.1.13.
Twenty separate infarction procedures with absolute ethanol were performed on eighteen renal tumors in seventeen patients at Department of Radiology, Seoul National University Hospital since 1982. Fifteen were hypernephroma cases and two were angiomyolipoma cases. The indications for renal infarction were the preoperative interruption of renal arterial flow in eight cases of hypernephroma, and primary therapy or palliation of symptoms in seven cases of hypernephroma and two cases of angiomyolipoma. Average 15ml of absolute ethanol was injected for renal arterial embolization at a rate of 1-2 ml/sec via balloon occlusion catheter or superselective administration technique. Though the long-term beneficial effect on survival was not confirmed, transcatheter embolization with absolute ethanol was suggested to be used as indispensible treatment in preoperative and inoperable or symptomatic cases of renal tumor.
自1982年以来，首尔国立大学医院放射科对17例患者的18个肾肿瘤进行了20次单独的无水乙醇梗死治疗。其中15例为肾细胞癌，2例为肾血管平滑肌脂肪瘤。肾梗死的适应证包括8例肾细胞癌术前阻断肾动脉血流，7例肾细胞癌和2例肾血管平滑肌脂肪瘤的主要治疗或症状缓解。通过球囊闭塞导管或超选择性给药技术，以1-2ml/秒的速度平均注入15ml无水乙醇进行肾动脉栓塞。尽管对生存的长期有益效果尚未得到证实，但无水乙醇经导管栓塞术被建议作为肾肿瘤术前、不可手术或有症状病例的必要治疗方法。
