创伤性泌尿系出血的急诊动脉栓塞治疗  

Emergent arterial embolization in the treatment of traumatic urinary bleeding

作　　者：苑静波[1] 啜振华[2] 

机构地区：[1]河北医科大学中医院放射科导管室,石家庄050011 [2]石家庄铁路中心医院影像科,石家庄050011

出　　处：《中国微创外科杂志》2005年第6期435-436,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨经导管选择性动脉栓塞在创伤性泌尿系出血急诊治疗中的价值。方法1998年1月～2003年6月对27例创伤性泌尿系出血根据损伤出血部位行数字减影血管造影检查,明确出血动脉,明胶海绵颗粒或弹簧钢圈栓塞靶动脉。结果23例一次栓塞成功止血,2例2次栓塞后止血,2例栓塞失败改行其他治疗方法。栓塞后不良反应为发热16例,局部疼痛、恶心、呕吐14例,1例髂内动脉栓塞出现一过性臀部疼痛。结论选择性动脉栓塞是治疗创伤性泌尿系出血的有效措施,具有创伤小、见效快的优点,为进一步治疗创造条件。Objective To investigate the clinical value of selective arterial embolization in the emergent treatment of traumatic urinary bleeding. Methods Twenty-seven cases were included in the study. The bleeding arteries were determined according to findings in angiography and embolic agents (gelfoam particles or steel coils) were inserted into the target arteries. Results The hemorrhage was completely controlled in 23 cases after the first embolization and in 2 cases after the second embolization. The embolization failed and was converted to open surgery in 2 cases. Adverse effects after the embolization included 16 cases of fever, 14 cases of local pain with nausea and vomiting, and 1 case of transient buttock pain after the embolization of the internal iliac artery). Conclusions Selective arterial embolization is an effective and mini-invasive option for the management of traumatic urinary bleeding. It takes effect quickly and creates favorable conditions for further treatment.

关 键 词：泌尿系创伤 出血 栓塞 介入治疗 

分 类 号：R691[医药卫生—泌尿科学]