Renal capsular artery embolization combined with superselective renal artery embolization for the treatment of traumatic renal hemorrhage
10.3969/j.issn.1002-1671.2024.12.025
- VernacularTitle:肾包膜动脉栓塞联合超选择性肾动脉栓塞术治疗损伤性肾出血
- Author:
Jing SHI
1
;
Jun XIE
;
Yushan YUAN
Author Information
1. 阜阳市人民医院介入放射科,安徽 阜阳 236000
- Keywords:
renal capsular artery embolization;
superselective renal artery embolization;
traumatic renal hemorrhage;
hematuria;
pain score
- From:
Journal of Practical Radiology
2024;40(12):2041-2045
- CountryChina
- Language:Chinese
-
Abstract:
;Objective To explore the safety and effectiveness of renal capsular artery embolization(RCAE)combined with superselective renal artery embolization(SRAE)in the treatment of traumatic renal hemorrhage(TRH).Methods A total of 50 patients with TRH were retrospectively selected.Among them,25 patients in the observation group were treated with RCAE combined with SRAE;25 patients in the control group were treated with SRAE.The patients were followed up for 3 months,in which the improvement of related indicators and symptoms during the perioperative period and the occurrence of related complications within 3 months after surgery were recorded.Results Both groups of patients successfully underwent interventional surgery to control renal bleeding.There were no statistically significant differences in the location of vascular injury,angiographic manifestations,and embolization materials used for renal artery embolization(RAE)between the two groups(P＞0.05).There were no statistically significant differences in preoperative hemoglobin(Hb),visual analogue scale(VAS)score of renal pain,serum creatinine(Scr),systolic blood pressure,postoperative 7 d Scr and postoperative 1 month systolic blood pressure between the two groups(P＞0.05).When comparing postoperative 24 h Hb and VAS score of renal pain between the two groups,the differences were statistically significant(P＜0.05).The postoperative satisfaction rate of the observation group was higher than that of the control group,and the postoperative hospitalization time was shorter than that of the control group,with statistical significance(P＜0.05).Conclusion The treatment of TRH in both groups can increase Hb 24 h after surgery and reduce VAS score of renal pain 24 h after surgery.Compared with the control group,the observation group significantly can improve postoperative 24 h Hb and patient satisfaction rate,reduce postoperative 24 h VAS score of renal pain,and reduce postoperative hospitalization time.RCAE combined with SRAE is a safe,effective,and minimally invasive hemostasis method for the treatment of TRH and is worthy of promotion.
