经导管盆腔动脉栓塞术的临床应用

Transcatheter Arterial Embolization Therapy for Pelvic Disorders in Clinical Use

本文报告18例经导管单侧或双侧髂内动脉栓塞。其中外伤出血8例，盆腔肿瘤8例，骶骨肿瘤2例。经髂内动脉栓塞后，外伤出血均得到控制，膀胱肿瘤的顽固性血尿停止，全身情况好转，肿瘤缩小。骶骨肿瘤术中出血较同类手术明显减少。文内对盆腔动脉栓塞的适应证，止血效果，晚期盆腔肿瘤的姑息治疗，栓塞材料及并发症等作了讨论。

25 iliac arteries were occluded during transcatheter internal iliac arterial embolization (TIIAE) therapy in 18 patients, of them traumatic bleeding in 8, pelvic cavity tumour in 8, tumour of sacrum in 2. After TIIAE and chamotherapy,bleeding was controlled in traumatic patients, stubborn hematuria in some cases was Cheeked, their ordinary condition was im-proved and in cases of tumour its size obviouly became decreased Bleeding was less in petients after embolization than in those before this surgical operation: Indications of TIIAE include hemostatic effect, embolic materiai implantation, pellintive treat ment of pelvic tumour in the later period and possible complications of TIlAE are also discussed.