经股动脉插管超选择肾动脉栓塞治疗顽固性血尿(附13例报告)  

Femoral artery superselective arterial embolization in treatment of intractable hematuria( 13 case reports attached)

作　　者：袁海[1] 陈希晨 刘为林[1] 杜杰[1] 龙军[1] 崔怀争 张良平[1] 

机构地区：[1]安徽省怀远县第二人民医院介入科,233400

出　　处：《淮海医药》2015年第1期11-13,共3页Journal of Huaihai Medicine

摘　　要：目的 探讨经股动脉超选择插管动脉栓塞术治疗各种原因引起的顽固性血尿临床疗效。方法 回顾性分析13例经内科药物治疗无效的顽固性血尿患者经股动脉超选择插管肾动脉或髂内动脉栓塞（或同时化疗药灌注）的临床资料。结果 13例患者中5例晚期未手术膀胱癌,2例膀胱癌术后,2例经皮肾镜取石,2例晚期肾癌（后证实为1例肾结核）,1例移植肾出血,1例阴茎海绵体血管瘤伴动脉畸形出血;术后1-3 d完全或基本止血,2例无效（1例通过抗结核4 d止血1例膀胱全切双肾造瘘尿道残端出血未能止血）。结论 经股动脉插管行动脉栓塞术治疗各种顽固性血尿有显著疗效。Objective To explore the clinical effect of femoral artery superselective arterial embolization in treatment of in- tractable hematuria induced by a variety of causes. Methods Clinical data of 13 cases suffering from intractable hematuria were retrospectively analyzed, who, after ineffective internal medication treatment, underwent femoral artery superselective arterial embolization or iliac artery embolization （ or at the same time chemotherapeutic infusion）. Results Of the 13 eases, 5 were with advanced bladder cancer （ without surgery） ,2 had bladder cancer I treated by surgery ） ,2 had undergone percutaneous nephrolithotrips ,2 suffered from advanced kidney cancer（ 1 was later confirmed as renal tuberculosis） , transplant kidney hemorrhage appeared in one case, and penis cavernous hemangioma with artery malformation hemorrhage occurred in another. 1 -3 days after the operation , all the cases completely or basically stopped bleeding. No effect was seen in 2 cases （ Hemostasis was achieved in 1 ease by anti - tuberculosis for 4 days ）. One case manifested apparent hemostatic effect after undergoing partial cystectomy. Urethral bleeding occurred in one case after radical cystectomy and double nephrostomy, but the bleeding failed to be stopped. Conclusion Femoral artery superselective arterial embolization is remarkably effective in treatment of all sorts of intractable hematuria.

关 键 词：顽固性血尿 超选择插管 栓塞 治疗性 

分 类 号：R696.8[医药卫生—泌尿科学]