邹强 袁建华 俞文强 邹强(310014杭州，浙江省人民医院泌尿外科)；袁建华 俞文强(310014杭州，浙江省人民医院放射科) 中华泌尿外科杂志 1999 0 20 3


    关键词：动静脉瘘；肾；血管造影；栓塞，治疗性 期刊 zhmnwkzz 0 论 著 fur -->


    

【摘要 】 目的 提高先天性肾动静脉瘘的诊治效果。 方法 应用肾动脉数字减影血管造影 (DSA)超选择性肾动脉介入栓塞方法诊治先天性肾动静脉瘘 3例。 结果 3例经 DSA明确诊断，在栓塞术后当日肉眼血尿消失， 24～ 72小时后尿常规正常。术后 72小时内有腰酸痛、低热、腹胀，无肾性高血压发生。 结论 DSA是明确肾动静脉瘘的最佳诊断方法，可同时进行超选择性肾动脉介入栓塞，既保存了肾功能又达到止血目的。

The diagnosis and treatment of congenital renal

    arteriovenous fistula with the use of DSA

ZOU Qiang,YUAN Jianhua,YU Wenqiang

    Department of Urology,Zhejiang Provincial Hospital,Hangzhou 310014

【 Abstract 】 Objective To probe into the diagnosis and treatment of congenital renal arteriovenous fistula. Methods The renal arteriovenous fistula was diagnosed on DSA renal arteriography in 3 cases and were treated by superselective renal thrombosis. Results The diagnosis of congenital renal arteriovenous fistula was accurately made on DSA.Treatment of the fistula was achieved through superselective thrombosis with good results.No renal vascular hypertension has been observed.Differential diagnosis between congenital and secondary renal arteriovenous fistula was discussd. Conclusions DSA is believed to be the best diagnostic method of congenital renal arterivenous fistula.Superselective renal artificial thrombosis is safe and effective for both the retain of renal function and the treatment of renal arteriovenous fistula.

     【 Key words 】 Arteriovenous fistula Kidney Angiography Embolization,therapeutic

自 1993年 9月～ 1998年 9月应用肾动脉数字减影血管造影 (DSA)技术诊断并同时超选择性介入动脉栓塞治疗先天性肾动静脉瘘 3例 ......

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