[1]潘建华,杜临安,陈志恒,等.医源性肾出血介入栓塞的疗效及时机选择[J].医学信息,2020,33(09):73-76.[doi:10.3969/j.issn.1006-1959.2020.09.021]
 PAN Jian-hua,DU Lin-an,CHEN Zhi-heng,et al.Efficacy and Timing of Iatrogenic Renal Hemorrhage Interventional Embolization[J].Medical Information,2020,33(09):73-76.[doi:10.3969/j.issn.1006-1959.2020.09.021]
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医源性肾出血介入栓塞的疗效及时机选择()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年09期
页码:
73-76
栏目:
论著
出版日期:
2020-05-01

文章信息/Info

Title:
Efficacy and Timing of Iatrogenic Renal Hemorrhage Interventional Embolization
文章编号:
1006-1959(2020)09-0073-04
作者:
潘建华杜临安陈志恒
(安徽医科大学第二附属医院介入科,安徽 合肥 230601)
Author(s):
PAN Jian-huaDU Lin-anCHEN Zhi-henget al
(Intervention Department,the Second Affiliated Hospital of Anhui Medical University,Hefei 230601,Anhui,China)
关键词:
肾出血医源性损伤动脉栓塞栓塞时机
Keywords:
Renal hemorrhageIatrogenic injuryArterial embolismTiming of embolization
分类号:
R692
DOI:
10.3969/j.issn.1006-1959.2020.09.021
文献标志码:
A
摘要:
目的 探讨超选择性肾动脉栓塞(SRAE)在医源性肾出血中的疗效及时机。方法 选择2011年12月~2019年6月于我院经过SRAE治疗的41例医源性肾出血患者的临床资料进行回顾性分析,根据出现血尿至介入栓塞的时间间隔不同分为A组(间隔时间≤5 d,21例)、B组(间隔时间>5 d,20例),比较两组基本资料(年龄、性别、出血肾脏位置、出血原因、是否合并失血性休克及尿路感染)、临床资料(手术时间、出血后住院时间、输血量、血尿消失时间、临床成功率及术后并发症发生情况)、术前及术后血红蛋白(Hb)、血尿素氮(BUN)、血肌酐(Scr)及血管损伤位置、造影表现及栓塞材料。结果 两组年龄、性别、出血肾脏位置、出血原因、是否合并失血性休克及尿路感染比较,差异均无统计学意义(P>0.05);两组临床成功率、手术时间、术后血尿消失时间及术后并发症比较,差异无统计学意义(P>0.05);A组住院期间输血量、住院时间低于B组,差异均有统计学意义(P<0.05)。两组术前、术后1周及术后1个月Hb、BUN、Scr比较,差异无统计学意义(P>0.05);两组术后1周、术后1个月Hb均较术前升高,差异均有统计学意义(P<0.05)。两组术中造影表现及栓塞材料比较,差异无统计学意义(P>0.05)。结论 SRAE治疗医源性肾出血疗效确切,且早期介入治疗可取得更好的效果。
Abstract:
Objective To explore the efficacy and timing of superselective renal artery embolism (SRAE) in iatrogenic renal hemorrhage.Methods The clinical data of 41 patients with iatrogenic renal hemorrhage treated by SRAE in our hospital from December 2011 to June 2019 were selected for retrospective analysis.According to the time interval between the occurrence of hematuria and interventional embolism, they were divided into group A (interval time≤5 d,21 cases), group B (interval time>5 d,20 cases), the basic data (age,sex,location of bleeding kidney, cause of bleeding, hemorrhagic shock and urinary tract infection), clinical data (operation time, hospitalization time after bleeding, blood transfusion volume, time of disappearance of hematuria, clinical success rate and postoperative complications), hemoglobin (Hb), blood urea nitrogen (BUN), serum creatinine (Scr) at preoperative and postoperative, location of vascular injury, angiographic manifestations and embolic materials were compared.Results There was no significant difference between the two groups in age, gender, location of bleeding kidney, cause of bleeding, hemorrhagic shock and urinary tract infection(P>0.05);There was no significant difference in clinical success rate, operation time, disappearance time of postoperative hematuria and postoperative complications between the two groups (P>0.05); the blood transfusion volume and hospitalization time of the patients in group A were lower than those in group B,the differences were statistically significant (P<0.05). There was no significant difference in Hb, BUN, and Scr between the two groups before operation, 1 week after operation, and 1 month after operation(P>0.05);The Hb in both groups was higher at 1 week and 1 month after operation than before operation,the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups in intraoperative imaging findings and embolization materials(P>0.05).Conclusion SRAE is effective in treating iatrogenic renal hemorrhage, and early interventional therapy can achieve better results.

参考文献/References:

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更新日期/Last Update: 2020-05-01