髂内动脉化疗栓塞在膀胱癌术后复发中的应用

Interventional therapy using trans-iliac-artery chemo-embolism(TACE) for patients of recurrence after resection of bladder carcinoma

目的探讨经导管髂内动脉化疗栓塞术在膀胱癌术后复发治疗中的临床价值。方法19例膀胱癌术后复发患者(均经病理检查证实)行双侧髂内动脉灌注化疗并用明胶海绵及真丝线段等栓塞治疗。结果19例患者在动脉灌注化疗栓塞术后均可见尿液颜色变浅,16例在2 d后出血完全停止;3例血尿症状明显改善,2周左右经B超、CT复查膀胱肿瘤缩小的12例。结论对于膀胱癌术后复发的患者,髂内动脉化疗栓塞治疗能有效控制临床症状,抑制肿瘤生长,是一种安全、可靠、有效的姑息性治疗方法。

Objective To study the clinical value of interventional therapy using trans-artery chemo-embolism （TACE） ,via iliac artery for patients of recurrence after resection of bladder carcinoma. Methods TACE via bilateral internal iliac arteries was performed in 19 cases with pathologically proved bladder carcinoma recurrence after resection. Results After TACE the color of urine in 19 cases returned to normal. Bleeding ceased in 16 cases 48 hours later,and symptoms of hematuria improved markedly in 3 cases. Tumor volume became smaller in 12 cases which were proved by CT and B-us after TACE. Conclusion Interventional therapy using TACE via iliac artery is a safe and reliable approach in treating patients suffering from recurrence after resection of bladder carcinoma.