介入治疗左输尿管髂总动脉瘘大出血1例报告  

A case report of interventional treatment of massive hemorrhage from left ureteral iliac artery fistula

作　　者：张镐哲 刘娟芳[1] 李超迪 闫肃 常琼方 韩新巍[1] 张建好[1] Zhang Haozhe;Liu Juanfang;Li Chaodi;Yan Su;Chang Qiongfang;Han Xinwei;Zhang Jianhao(Department of Interventional,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院介入科,郑州450052

出　　处：《中华泌尿外科杂志》2024年第12期949-951,共3页Chinese Journal of Urology

摘　　要：本文报道1例膀胱癌根治手术后双侧输尿管皮肤造口患者,术后2年出现间断血尿,双侧肾动脉、腹主动脉造影未见异常。拔除双J管后,腹主动脉造影可见左侧髂总动脉输尿管瘘,患者即刻出现失血性休克。急诊行腹主动脉球囊阻断并左侧髂总动脉覆膜支架置入术,支架置入后回收球囊扩张导管,未见出血,心率血压恢复稳定,复查造影示瘘完全不显影。本病罕见且凶险,介入治疗可迅速止血,手术创伤小、术后恢复快。This article reports that a patient with bilateral ureterocutaneous stoma after radical cystectomy developed intermittent hematuria 2 years after surgery,and there were no abnormalities on bilateral renal artery and abdominal aortic angiography.After removal of the double J stent,a left common iliac artery ureteral fistula was seen on abdominal aortic angiography,and the patient immediately developed hemorrhagic shock.Abdominal aortic balloon occlusion and left common iliac artery stent grafting were performed in the emergency department.After the stent was deployed and the balloon deflated,no bleeding was observed,and the patient's heart rate and blood pressure stabilized.Follow-up angiography showed complete resolution of the fistula.This condition is rare and dangerous,but interventional treatment can quickly control bleeding,offering minimal surgical trauma and fast recovery.

关 键 词：输尿管髂总动脉瘘 腹主动脉球囊阻断术 覆膜支架 

分 类 号：R73[医药卫生—肿瘤]