子宫动脉栓塞术治疗宫颈癌急性大出血疗效分析  

Analysis of Curative Effect of Uterine Artery Embolization in Treatment of Cervical Carcinoma Acute Massive Hemorrhage

作　　者：聂春生[1] 李凯[1] 高东文 

机构地区：[1]哈尔滨医科大学附属肿瘤医院介入科,黑龙江哈尔滨150040 [2]黑龙江省富裕县人民医院介入科,黑龙江富裕161200

出　　处：《中外医疗》2017年第17期63-65,共3页China & Foreign Medical Treatment

摘　　要：目的评价子宫动脉栓塞术对宫颈癌急性大出血临床应用价值。方法方便选取2006年7月—2014年12月哈尔滨医科大学附属肿瘤医院收治的37例宫颈癌阴道大出血患者,急诊行双侧髂内动脉造影,确定出血动脉。超选择导管于出血动脉内,栓塞明胶海绵及弹簧圈。结果阴道出血停止或减少为临床有效标准,37例患者临床有效率为100%。1例患者出现重度下腹部疼痛,2周后缓解,其余患者无严重并发症出现。结论介入栓塞治疗宫颈癌阴道大出血,具有止血迅速,疗效确切,并发症少的优点,值得临床推广应用。Objective To evaluate the clinical application value of uterine artery embolization in treatment of cervical carcinoma acute massive hemorrhage. Methods 37 cases of patients with cervical carcinoma acute massive hemorrhage in our hospital from July 2006 to December 2014 were conveniently given the bilateral internal iliac angiography, and the bleeding artery was ensured. Results Vaginal bleeding stopping or decrease was the clinical effective standards, and the clinical effective rate of 37 cases was 100%, and 1 case was with severe lower abdominal pain and relieved after two weeks, and there were no severe complications in other cases. Conclusion The interventional embolization in treatment of cervical carcinoma acute massive hemorrhage can rapidly stop the bleeding, and the curative effect is definite with few complications, which is worth clinical promotion and application.

关 键 词：宫颈癌 出血 栓塞 

分 类 号：R5[医药卫生—内科学]