| 王健,邹英华,吕永兴,佟小强,蒋学祥.先天性肾动静脉畸形的经导管腔内治疗[J].中国医学影像技术,2005,21(1):115~117 |
| 先天性肾动静脉畸形的经导管腔内治疗 |
| Congenital renal arteriovenous malformation treated by endovascular techniques |
| 投稿时间：2004-07-25 修订日期：2004-09-01 |
| DOI： |
| 中文关键词: 栓塞 肾动脉 动静脉畸形 |
| 英文关键词:Embolism Renal artery Arteriovenous malformation |
| 基金项目: |
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| 中文摘要: |
| 目的观察经导管腔内治疗对于不同分型的先天性肾动静脉畸形的治疗方法及疗效。方法 先天性肾动静脉畸形患者5例,采用seldinger技术,应用不同的血管腔内治疗技术,对不同类型患者进行栓塞治疗。术后随访6~24个月进行疗效观察。结果 共治疗7次。1例静脉曲张型患者,首次术后血尿复发,经重复栓塞后治愈;其余4例患者均一次治疗成功。随访期内,未见血尿复发及肾功能异常。结论 对于先天性肾动静脉畸形,经导管腔内治疗术是一种微创、有效的治疗方法。 |
| 英文摘要: |
| Objective To evaluate the efficacy and safety of endovascular techniques in the treatment of different congenital renal arteriovenous malformation. Methods Five patients with congenital renal arteriovenous malformation were treated by endovascular techniques. Coil embolization was performed under balloon occlusion of the renal vein in a patient of the aneurysmal type, and embolization with absolute alcohol were performed after the microcatheter being wedged in the target vessel in other 4 cirsoid type patients. All patients were followed for 6 to 24 month after the initial procedure. Results Seven procedures of treatment performed on the patients. Haematuria ceased in 4 patients after the initial therapy. In one patient of cirsoid renal arteriovenous malformation, haematuria recurred 2 times but was finally well-controlled by additional embolization. There was no recurrence of haematuria during the follow-up period, and the renal function was also normal. Conclusion Endovascular techniques are safe, effective and worth to be performed in the treatment of congenital renal arteriovenous malformation. |
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