论文部分内容阅读
８例肾癌患者行旨在配合肾切除术的肾动脉栓塞术。其中５例取得了明显减少出血、操作容易、缩短手术时间的好效果。本文认为肾切除术前２～７天行栓塞术较有利。无水乙醇比明胶海绵中断血运效果更佳。用无水乙醇只要栓塞至二级分支就足以中断肾血供。造影应显示供血动脉、肿瘤血管、引流静脉，为肾切除及栓塞术提供参考。栓塞前后应注意保护健肾，一般可以一次完成诊断造影及栓塞治疗。
Eight patients with renal cell carcinoma were treated with renal artery embolization designed to cooperate with nephrectomy. Among them, 5 patients achieved a significant reduction of bleeding, easy operation and shortened operation time. This article suggests that 2 to 7 days before nephrectomy embolization is more favorable. Anhydrous ethanol has a better bloodletting effect than a gelatin sponge. With anhydrous ethanol as long as the embolism to the secondary branch is sufficient to interrupt the renal blood supply. Angiography should show the blood supply artery, tumor vessels, drainage veins, for the nephrectomy and embolization provide a reference. Before and after embolization should pay attention to protect the kidney, the general can be completed at one time diagnostic imaging and embolization.