血管介入栓塞术治疗尿路大出血  

Vascular Interventional Embolization Therapy for the Urinary Tract Hemorrhage

作　　者：戴社教[1] 周斌[1] 陈欣[1] 刘振堂[1] 张尚军[1] 程丽丽[1] 张亚红[1] 

机构地区：[1]西安交通大学第二医院放射科,西安710004

出　　处：《放射学实践》2006年第8期827-829,共3页Radiologic Practice

摘　　要：目的:研究和评估血管介入栓塞治疗在尿路出血中的作用和价值。方法:运用血管介入栓塞术治疗35例尿路出血,其中肾外伤11例、肾肿瘤13例、膀胱肿瘤9例(3例为手术后)、前列腺癌晚期2例。栓塞材料选用明胶海绵颗粒(或明胶海绵条)、无水乙醇、超液化碘油。结果:全部病例的出血在栓塞后1～3d后完全停止,随访4个月～9年,无复发出血,且肾损伤出血患者保留了部分的肾功能。结论:血管介入栓塞治疗创伤小,疗效显著,可保留部分脏器功能,是治疗尿路大出血的安全有效的方法。Objective： To study the value of the vascular interventional embolization therapy for the urinary tract hemorrhage. Methods：Vascular interventional embolization treatment was performed in 35 patients wifh urinary hemorrhage,including 11 ases of renal injury, 13 renal tumor,9 bladder tumor （3 postoperative） and 2 late stage of prostate cancer. Embolization materials included gelfoam granules or strips, absolute alcohol and lipiodol ultrafluid. Results：All patients were treated successfully by this method. Hemorrhage was stopped completely after 1 ～ 3 days, and no recurrence was observed during the follow up of 4 months to 9 years. The patients with renal injury could reserve renal function within the normal limit. Conclusion： It is suggested that vascular interventional embolization therapy is a safe and efficient method for the treatment of urinary tract hemorrhage. It can reserve the function of the urinary organ within the normal limit.

关 键 词：尿路 出血 栓塞 放射学 介入性 

分 类 号：R691[医药卫生—泌尿科学]