论文部分内容阅读
目的 探讨肾动静脉瘘的诊断和治疗方法。 方法 回顾性分析 8例肾动静脉瘘患者的临床资料。其中原发性动静脉瘘 5例 ,继发于肾肿瘤 2例、外伤 1例。 结果 2例肾肿瘤者 1例行肾切除术 ,1例因肿瘤转移仅行化疗。 6例行经皮超选择性肾动脉栓塞治疗。随访 6～ 6 0个月 ,1例栓塞失败者行肾切除术 ,1例瘘管再通者行二次栓塞治疗。一次栓塞成功者 4例。 结论 影像学检查是诊断肾动静脉瘘的主要手段 ,除恶性肿瘤外经皮超选择性肾动脉栓塞是治疗肾动静脉瘘的首选方法。
Objective To investigate the diagnosis and treatment of renal arteriovenous fistula. Methods The clinical data of 8 patients with renal arteriovenous fistula were retrospectively analyzed. Of which 5 cases of primary arteriovenous fistula, secondary to renal tumors in 2 cases, 1 case of trauma. Results One nephrectomy was performed in 2 cases of kidney neoplasms and only 1 case was treated with chemotherapy because of tumor metastasis. Six patients underwent percutaneous trans-selective renal artery embolization. Follow-up 6 to 60 months, 1 case of failed embolization nephrectomy, 1 case of fistula recanalization secondary embolization. A successful embolization in 4 cases. Conclusion Radiographic examination is the main method of diagnosis of renal arteriovenous fistula. In addition to malignant tumors, percutaneous transrenicular renal artery embolization is the preferred method of treatment of renal arteriovenous fistula.