Messing E, Kessler R, Kavaney P B
Urology. 1976 Aug;8(2):101-7. doi: 10.1016/0090-4295(76)90330-7.
A review of the literature reveals that aggressive treatment of symptomatic intrarenal arteriovenous fistulas, whether by surgical or radiologic techniques, is generally indicated. The exception is those fistulas which result from closed renal biopsy since these usually heal spontaneously. The ultimate goal of any form of therapy is the maximal preservation of renal tissue. Methods of treatment are discussed, and a review of classification, etiology, incidence, symptoms, physiologic consequences, and means of diagnosis is given. A case of post-traumatic intrarenal arteriovenous fistula with ipsilaterally elevated renal vein renin and hypertension, cured by partial nephrectomy, is presented.
文献综述表明，对于有症状的肾内动静脉瘘，无论采用手术还是放射技术进行积极治疗通常都是必要的。例外情况是那些由闭合性肾活检导致的瘘，因为这些瘘通常会自发愈合。任何形式治疗的最终目标都是最大程度地保留肾组织。文中讨论了治疗方法，并对分类、病因、发病率、症状、生理后果及诊断方法进行了综述。还介绍了一例因创伤后肾内动静脉瘘导致同侧肾静脉肾素升高和高血压，经部分肾切除术治愈的病例。
