前列腺增生术后及膀胱癌大出血的栓塞治疗  

Interventional embolism therapy for hemorrhea of prostate hyperplasia and bladder cancer

作　　者：钱骏[1] 冯敢生[1] 

机构地区：[1]同济医科大学附属协和医院放射科,武汉430022

出　　处：《临床泌尿外科杂志》1999年第10期440-442,共3页Journal of Clinical Urology

摘　　要：目的 :探讨前列腺增生症 ( BPH)术后大出血及膀胱癌并发不可控制大出血的防治方法。方法 :采取 Seldinger和选择性插管技术 ,对 8例 BPH术后大出血及 15例膀胱癌 (均经病理检查证实 )并发不可控制大出血患者进行双侧髂内动脉有关供血支的介入栓塞治疗。结果 :经栓塞治疗 ,8例 BPH患者术后大出血立即得到控制 ,48h后尿液转清 ,15例膀胱癌并发大出血患者中有 14例大出血立即得到控制 ,1例出血明显减少 ,经保守治疗后亦不再出血。结论 :对于 BPH术后大出血和膀胱癌并发大出血患者 ,在保守治疗无效的情况下采取介入栓塞治疗是一种安全、可靠地控制大出血的有效方法。Purpose:To explore the clinical effect and value of interventional embolism therapy for the treatment of hemorrhage in patients sufferd from bladder cancer and prostatic hyperplasia after operation.Methods:In 8 cases of prostatic hyperplasia after operations and 15 cases of bladder cancer (confirmed with pathological evidence),complicated with serious and life threaten hemorrhage,their blood delivery branches of two sides intrailiac arteries underwent interventional embolism therapy by using Seldinger and selective catheter inserting technique.Results:After the embolism therapy,the hemorrhage stopped instantly and their urine returned clearly after 48 hours in 8 cases of prostatic hyperplasia.In 14 cases of 15 patients with bladder cancer the hemorrhage also stopped instantly after the treatment.The bleeding attenuated significantly and stopped later with conservative therapy in other 1 case.Conclusions:Interventional embolism therapy is a safe and reliable way for stopping hemorrhage in patients suffered from prostatic hyperplasia,bladder cancer couplicating with hemorrhage when conservative therapy is ineffective.

关 键 词：前列腺切除术 膀胱癌 出血 栓塞治疗 

分 类 号：R737.140.5[医药卫生—肿瘤] R697.320.5[医药卫生—临床医学]