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Received:August 08, 2018 Published Online:March 22, 2019
Received:August 08, 2018 Published Online:March 22, 2019
中文摘要: 目的 探讨介入栓塞术治疗动脉性肾出血的临床效果。方法 选取2015年1月至2018年1月治疗的动脉性肾出血患者80例,经保守治疗效果不佳后行介入栓塞术治疗,观察治疗效果,同时比较治疗前后凝血反应时间(R)、血凝块形成速率(K)和最大振幅(MA)。结果 80例患者均成功完成介入栓塞治疗,成功率100.00%;无患者发生肾脓肿、肾性高血压等并发症;患者术后1周、1个月血红蛋白、收缩压和舒张压较术前有所升高(P<0.05),而心率较术前有所降低(P<0.05)。患者术后1周、1个月R值、K值较术前有所升高(P<0.05),而MA值较术前有所降低(P<0.05);术后1个月血肌酐和尿素氮分别为(122.20±30.20)μmol/L和(7.02±1.43)mmol/L,明显低于术前及术后1周(P<0.05)。结论 介入栓塞术治疗动脉性肾出血有较好的效果,能有效止血,保护患者肾功能。
Abstract:Objective To investigate the effects of interventional embolization for the treatment of renal artery hemorrhage. Methods Eighty patients with arterial renal hemorrhage treated with interventional embolization following poor conservative treatment from January 2015 to January 2018 were selected.The therapeutic effect was observed, and the coagulation reaction time (R), coagulation formation rate (K) and maximum amplitude (MA) were compared before and after treatment. Results The successful rate of interventional embolization was 100.00%.There were no complications such as renal abscess and renal hypertension.Hemoglobin, systolic blood pressure and diastolic blood pressure increased statistically 1 week and 1 month after operation (P<0.05), while heart rate decreased (P<0.05) compared with those before treatment.At 1 week and 1 month after operation, R value and K value were statistically higher than those before operation (P<0.05), while MA value was lower than that before operation (P<0.05).One month after operation, serum creatinine and urea nitrogen were (122.20±30.20)μmol/L and (7.02±1.43) mmol/L, respectively and were significantly lower than those before operation and 1 week after operation (P<0.05). Conclusion Interventional embolization is available in the treatment of arterial renal hemorrhage with effective hemostasis and protection of renal function.
文章编号: 中图分类号:R 692, R 816.7 文献标志码:B
基金项目:
Author Name | Affiliation |
ZHANG Shuang-yang, YE Ming, WANG Yi-qin | Department of Urology, Wuchang Hospital of Wuhan, Wuhan, Hubei 430063, China |
Author Name | Affiliation |
ZHANG Shuang-yang, YE Ming, WANG Yi-qin | Department of Urology, Wuchang Hospital of Wuhan, Wuhan, Hubei 430063, China |
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