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中华腔镜泌尿外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (04) : 360 -363. doi: 10.3877/cma.j.issn.1674-3253.2022.04.017

病例研究

超选择性肾动脉栓塞治疗儿童重度闭合性多处肾碎裂伤一例并文献复习
马涛1, 叶春伟1, 李卓衡1, 杨晓芳1, 庄浩1, 郑玮玮1, 李志鹏1,()   
  1. 1. 650101 云南,昆明医科大学第二附属医院泌尿外科
  • 收稿日期:2021-04-21 出版日期:2022-08-01
  • 通信作者: 李志鹏

Superselective renal artery embolization in the treatment of a child with severe closed renal comminuted injury with active bleeding and literature review

Tao Ma1, Chunwei Ye1, Zhuoheng Li1, Xiaofang Yang1, Hao Zhuang1, Weiwei Zheng1, Zhipeng Li1,()   

  1. 1. Department of Urology, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
  • Received:2021-04-21 Published:2022-08-01
  • Corresponding author: Zhipeng Li
引用本文:

马涛, 叶春伟, 李卓衡, 杨晓芳, 庄浩, 郑玮玮, 李志鹏. 超选择性肾动脉栓塞治疗儿童重度闭合性多处肾碎裂伤一例并文献复习[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(04): 360-363.

Tao Ma, Chunwei Ye, Zhuoheng Li, Xiaofang Yang, Hao Zhuang, Weiwei Zheng, Zhipeng Li. Superselective renal artery embolization in the treatment of a child with severe closed renal comminuted injury with active bleeding and literature review[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(04): 360-363.

目的

评价超选择性肾动脉栓塞治疗儿童重度闭合性多处肾碎裂伤伴活动性出血的有效性。

方法

回顾性分析于2020年9月1日在我科经肾动脉超选择性栓塞等综合治疗重度闭合性多处肾碎裂伤伴活动性出血1例的儿童临床资料。

结果

该儿童经超选择性肾动脉栓塞等综合治疗后出血完全停止,患肾的绝大部分组织和功能得以保存,最终治愈出院。术后3个月随访该儿童患肾功能良好,肾周血肿基本吸收,无血尿复发及尿性囊肿等并发症。

结论

超选择性肾动脉栓塞治疗重度闭合性多处肾碎裂伤伴活动性出血的儿童具有显著的临床疗效,避免不必要的医源性肾切除术,最大程度地保护肾脏实质与肾功能。

Objective

To evaluate the safety and clinical significance of superselective renal artery embolization in the treatment of severe closed renal rupture with active bleeding.

Methods

A retrospective analysis of a child with severe closed renal rupture accompanied by active bleeding was performed in our department on September 1, 2020, who received highly selective embolization via renal artery.

Results

The bleeding was completely stopped after super-selective renal artery embolization treatment, and part of the kidney tissue and function was preserved. Finally, he was discharged from the hospital. The child’s renal function remained good after follow-up. There was no recurrence of hematuria, no other complications occurred.

Conclusion

The super-selective renal artery embolization therapy in the child with severe closed renal rupture and active bleeding has significant clinical effects, which can protect renal.

图2 该儿童术后影像学检查资料
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