急性肾出血的肾动脉栓塞术：单中心经验
Renal Artery Embolization for Acute Renal Hemorrhage: A Single-Center Experience.
作者信息
Limtrakul Tanapoom, Rompsaithong Ukrit, Ahooja Anucha, Kiatsopit Pakorn, Lumbiganon Supanut, Pachirat Kachit, Sirithanaphol Wichien
机构信息
Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
出版信息
Res Rep Urol. 2020 Aug 5;12:315-319. doi: 10.2147/RRU.S263012. eCollection 2020.
BACKGROUND
Emergency renal artery embolization (RAE) is a useful method in treating renal trauma and bleeding renal tumors. The aim of this study was to evaluate the clinical efficacy and safety of emergency RAE, and factors associated with RAE failure.
METHODS
This retrospective study included patients treated with emergency RAE for acute renal hemorrhage between 1 January 2009 and 31 October 2019 in Srinagarind Hospital. The embolization was performed using coils, glues, and/or gel foams. Factors associated with unsuccessful outcomes were analyzed using univariate and multivariate regression analyses.
RESULTS
A total of 94 patients were treated at the center during the study period with the clinical success rate of 91.5%. The most common cause of acute renal hemorrhage was iatrogenic injury (76.5%). Factors associated with unsuccessful RAE according to multivariate analyses were hypertension (adjusted odds ratio [AOR] 24.2) and ruptured tumor/aneurysm (AOR 26.8).
CONCLUSION
RAE is an effective procedure for acute renal hemorrhage. Hypertension and ruptured tumor/aneurysm were negative predictors for success.
背景
急诊肾动脉栓塞术（RAE）是治疗肾外伤和肾肿瘤出血的一种有效方法。本研究旨在评估急诊RAE的临床疗效和安全性，以及与RAE失败相关的因素。
方法
这项回顾性研究纳入了2009年1月1日至2019年10月31日在诗里拉吉医院接受急诊RAE治疗急性肾出血的患者。栓塞使用线圈、胶水和/或明胶海绵进行。使用单因素和多因素回归分析来分析与治疗失败相关的因素。
结果
在研究期间，该中心共治疗了94例患者，临床成功率为91.5%。急性肾出血的最常见原因是医源性损伤（76.5%）。根据多因素分析，与RAE失败相关的因素是高血压（调整优势比[AOR]为24.2）和肿瘤/动脉瘤破裂（AOR为26.8）。
结论
RAE是治疗急性肾出血的有效方法。高血压和肿瘤/动脉瘤破裂是成功的阴性预测因素。
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