经导管超选择性动脉栓塞术控制肾肿瘤部分肾切除术后肾出血：9例报告及文献复习
Superselective transcatheter arterial embolization to control renal hemorrhage after partial nephrectomy for renal tumors: A report of 9 cases and a literature review.
作者信息
Zuo Mengxuan, Yuan Hui, Ou Shunling, Huang Jinhua
机构信息
Department of Minimal Invasive Intervention, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, PR China.
出版信息
J Interv Med. 2019 Sep 14;2(3):134-138. doi: 10.1016/j.jimed.2019.09.015. eCollection 2019 Aug.
OBJECTIVE
This study aimed to evaluate the efficacy and safety of selective arterial embolization for hemorrhage after renal surgery and to summarize the clinical experience.
MATERIALS AND METHODS
A total of 9 patients underwent arterial embolization after partial nephrectomy from 2010 to 2018.
RESULTS
Technical success was achieved in all patients; however, 3 patients underwent a secondary arterial embolization because of short-term re-hemorrhage or the co-occurrence of accessory renal arterial hemorrhage. No serious complications occurred during the follow-up.
CONCLUSIONS
Superselective arterial embolization is an effective and minimally invasive treatment for hemorrhage after partial nephrectomy. To improve the success rate of surgery, attention should be paid to the evaluation of accessory renal arteries and the management of suspected bleeding arteries.
目的
本研究旨在评估选择性动脉栓塞术治疗肾手术后出血的疗效和安全性，并总结临床经验。
材料与方法
2010年至2018年，共有9例患者在接受部分肾切除术后接受了动脉栓塞术。
结果
所有患者均取得技术成功；然而，3例患者因短期再次出血或合并副肾动脉出血而接受了二次动脉栓塞术。随访期间未发生严重并发症。
结论
超选择性动脉栓塞术是治疗部分肾切除术后出血的一种有效且微创的治疗方法。为提高手术成功率，应重视副肾动脉的评估及可疑出血动脉的处理。
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