用钢丝袢栓塞肾动脉国内未见报告,我院自1980年开展肾动脉栓塞术以来,用钢丝袢栓塞肾动脉治疗肾肿瘤2例,报告如下。 1 病例报告例1,男,51岁,无痛性全程肉眼血尿4a,右腰部肿物20d。查体:右腰部可触及8cm×9cm质硬不平结节状肿物。逆行造影诊为右肾肿瘤。尿找瘤细胞阳性。1984年4月于外院手术探查见右肾呈结节状,12cm×12cm×8cm,质硬,因与腹主动脉,下腔静脉粘连未能切除。病理报告:右肾腺癌。1984年5月行右肾动脉造影示右肾分支变细拉长及大量新生血管,实质期轮廓明显增大(图1)。行栓塞术放钢丝袢1个于肾动脉主于远端。栓塞后腹主动脉造影示:右肾动脉主干近端显影浅淡,远端未显影(图2)。例2,男,45岁,因左上腹剧烈绞痛而就诊。查肾区叩痛,未触及包块,B型超声 Nephrotic wire embolization no report of the domestic artery, our hospital since 1980, carried out by renal artery embolization, renal artery embolization with wire 袢 2 cases of renal tumors, the report is as follows. 1 case report 1, male, 51 years old, painless gross hematuria 4a, right waist mass 20d. Physical examination: the right waist can reach 8cm × 9cm hard hard nodular mass. Retrograde contrast diagnosis of right kidney tumor. Urine looking for tumor cells positive. In April 1984 in the outer hospital surgery to see the right kidney showed nodular, 12cm × 12cm × 8cm, hard, because of abdominal aorta and inferior vena cava adhesions failed to remove. Pathology report: Right renal adenocarcinoma. In May 1984, the right renal artery angiography showed the extension of the right renal branch and a large number of neovascularization, and the contour of the substantial period was significantly increased (Figure 1). Line embolization put steel wire 1 in the main renal artery distal. Posterior embolization of the abdominal aorta angiography showed: the proximal proximal renal artery paleo development, the distal end is not developed (Figure 2). Example 2, male, 45 years old, due to severe left colic angina and treatment. Check the renal area percussion pain, not touched the mass, B-mode ultrasound