用无水乙醇进行肾消融治疗无功能肾积水。

Renal ablation with absolute ethanol for nonfunctioning hydronephrosis.

作者信息

Hirao Y, Okajima E, Yoshida K, Ozono S, Hayashi Y, Yoshikawa M, Natsume O, Yoshii M, Yasukawa M, Momose H

机构信息

Department of Urology, Nara Medical University, Japan.

出版信息

Eur Urol. 1993;24(2):203-7. doi: 10.1159/000474295.

DOI:10.1159/000474295

PMID:8375441

Abstract

Six adult patients underwent renal ablation with absolute ethanol for nonfunctioning hydronephrosis due to various ureteral lesions. The procedure of renal ablation consisted of 3 separate sessions: placement of percutaneous nephrostomy; transarterial embolization of the renal artery with absolute ethanol, and sclerotherapy of the renal pelvis and ureter through nephrostomy with absolute ethanol. Marked shrinkage of the treated kidney was observed in all cases without any major adverse effects throughout the observation period. Renal ablation with absolute ethanol for nonfunctioning hydronephrosis constitutes a safe and less invasive alternative to surgical nephrectomy to preserve the quality of life of the patients.

摘要

6例成年患者因各种输尿管病变导致无功能肾积水，接受了无水乙醇肾消融治疗。肾消融手术包括3个独立的步骤：经皮肾造瘘术；用无水乙醇对肾动脉进行经动脉栓塞，以及通过肾造瘘术用无水乙醇对肾盂和输尿管进行硬化治疗。在整个观察期内，所有病例均观察到治疗后的肾脏明显缩小，且无任何严重不良反应。对于无功能肾积水，用无水乙醇进行肾消融是一种安全且侵入性较小的替代手术肾切除术的方法，可提高患者的生活质量。