经导管栓塞治疗恶性肿瘤急性膀胱出血的临床疗效  

Clinical effect of transcatheter arterial embolization in treating acute bladder hemorrhage of malignant tumor

作　　者：顾克峰 潘峰[1] 韩庆涛[1] 高淑萍[1] 李燕[1] 王科学[1] 于海鹏[2] 

机构地区：[1]章丘市人民医院介入科,250200 [2]天津医科大学肿瘤医院介入治疗科,国家临床医学研究中心,天津市肿瘤防治重点实验室,300060

出　　处：《中华介入放射学电子杂志》2014年第2期26-28,共3页Chinese Journal of Interventional Radiology：electronic edition

基　　金：天津医科大学科学基金(2011KY14);天津市卫生局科技基金(2011KZ74)

摘　　要：目的评价经导管动脉栓塞术治疗对恶性肿瘤导致的急性膀胱出血的临床疗效。方法回顾性分析2008年1月~2011年12月应用介入栓塞治疗恶性肿瘤导致的急性膀胱出血的42例患者临床资料,对栓塞术后血尿控制、并发症状况进行分析。结果技术成功率100%（50/50）,35例患者术后1~6天血尿停止或减少,近期成功率83.33%（35/42）。10例患者在随访期间再次出现血尿症状,远期成功率为76.19%（32/42）,无误栓、膀胱坏死、肾功能损伤等严重并发症发生。结论经导管动脉栓塞术治疗恶性肿瘤急性膀胱出血疗效确切,安全有效。Objective To evaluate the clinical effect of transcatheter arterial embolization in treating acute bladder hemorrhage of malignant tumor patients. Methods Clinical data of transarterial embolization in 42 malignant tumor patients with bladder hemorrhage were analyzed retrospectively. Post-embolization angiography findings including bleeding control and complications were assessed. Results The technical success rate was 100%（50/50）. Hematuria was controlled after the first procedure（1 day to 6 days after embolization） in 35 of 42 patients, the recent successful rate was 83.33%（35/42）. The late clinical success rate was 76.10%（32/42） since late bleeding recurrence was reported in 10 patients during the follow-up. No major complications related to embolization occurred, such as buttock or perineal pain, bladder necrosis, renal function damage etc. Conclusions Selective transcatheter arterial embolization is an effective and safe method to control acute bladder bleeding in malignant tumor patients. It can be used as priority selection.

关 键 词：肿瘤 膀胱 出血 栓塞 治疗性 并发症 

分 类 号：R730.5[医药卫生—肿瘤]