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目的:分析肾出血患者采用选择性肾动脉栓塞术治疗的临床疗效。方法:随机选取该院25例肾损伤性出血患者为研究对象,所有患者在均采用选择性肾动脉栓塞术治疗。结果:该次所有患者术后1~5 d左右血尿基本上完全消失,经过3个月~1年时间随访,2例患者出现发热症状,1例患者出现腰痛,1例出现尿外渗,并没有出现复发性血尿以及其他严重并发症。结论:肾出血患者采用选择性肾动脉栓塞治疗可以最大限度的维护正常肾组织不被破坏,以防受到肾脏外科手术的损伤,是一种安全、有效、成功率较高的治疗方法。但是需要注意的是应该结合患者肾损伤的实际情况选择最恰当的栓塞材料。
Objective: To analyze the clinical effect of selective renal artery embolization in patients with renal hemorrhage. Methods: Twenty-five patients with renal traumatic hemorrhage in our hospital were randomly selected for the study. All patients were treated with selective renal artery embolization. Results: The hematuria almost completely disappeared in 1 ~ 5 days after operation in all the patients. After 3 months to 1 year follow-up, 2 patients had fever symptoms, 1 patient had lumbago, 1 patient had urine extravasation and No recurrence of hematuria and other serious complications. Conclusion: The treatment of renal artery hemorrhage with selective renal artery embolization can maximize the maintenance of normal renal tissue is not damaged, to prevent the damage of renal surgery, is a safe, effective and high success rate of treatment. However, it is important to note that the most appropriate embolic material should be selected in conjunction with the actual condition of the patient’s kidney injury.