다낭성 신 질환 환자에서 경피적 신동맥 색전술의 효과에 대한 다섯 증례
Renal Artery Embolization in Patients with Polycystic Kidney Disease
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초록
혈액 투석을 받고 있는 상염색체 우성 다낭성 신 질환 환자에서 에탄올을 이용한 신동맥 색전술은 신장 크기 증가로인한 복부 팽만, 복통 등의 증상 완화에 비교적 안전하고 효과적인 치료 방법으로 생각되며 이전에 시행하였던 수술적제거술, 경화 요법, 감압법 등을 대체할 수 있는 효과적인 방법으로 생각되어 문헌고찰과 함께 5예를 보고하는 바이다.
Abstract
Polycystic kidney disease (PCKD) is the most common life-threatening genetic disease that causes kidney failure worldwide. Patients with autosomal dominant PCKD notice an increase in abdominal size as the kidney cysts grow and present with gastrointestinaland pulmonary symptoms. Surgical therapy, percutaneous drainage, sclerotherapy, cyst decompression, and laparoscopicfenestration have been used to treat the symptoms, but the results are often unsatisfactory. We recruited five patients with PCKD. Each patient complained of severe abdominal discomfort, and had a poor quality of life. In these patients, we performed renal arteryembolization. After the procedure, all of the patients were discharged without severe complications. Follow-up abdominal computedtomography was performed 3-6 months after the procedure, and we were able to confirm a reduction in the size of bothkidneys. In addition, the clinical symptoms improved in all five patients.
참고문헌 (10)
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