经动脉栓塞治疗腹腔肿瘤患者术后大出血13例

Transarterial embolization for postoperative massive hemorrhage in patients with abdominal tumors

目的探讨经动脉栓塞治疗腹腔肿瘤患者术后大出血的可行性及疗效。方法 2004年1月至2009年12月13例腹腔肿瘤患者因术后大出血接受经动脉栓塞治疗。对这些患者的临床资料及造影栓塞过程进行回顾性分析。结果 13例患者中有10例经过一次栓塞出血即得到控制。在栓塞后再次出现出血的3例患者,血管造影发现出血动脉不同。2例经再次栓塞出血得到控制,1例由于微导管无法超选择到出血部位而行手术治疗。经动脉栓塞治疗术后大出血总的临床成功率为92%(12/13)。未出现严重并发症。结论经动脉栓塞治疗腹腔肿瘤患者术后大出血安全、可行。

Objective To discuss the feasibility and effectiveness of transarterial embolization for the management of postoperative massive hemorrhage in patients with abdominal tumors.Methods Between January 2004 and December 2009 in authors＇ hospital transarterial embolization for postoperative massive hemorrhage was performed in thirteen patients with abdominal tumors.The clinical data and the technical points were retrospectively analyzed.Results Of 13 patients,the bleeding was completely controlled in 10 after single embolization procedure.Re-bleeding occurred in the other 3 patients,and angiography showed the new bleeding arteries.Transarterial embolization was carried out again,and the bleeding was successfully stopped in 2 patients.The remaining one patient had to be treated with surgery as the microcatheter could not be super-selectively placed into the bleeding vessel.The overall clinical success rate of transarterial embolization for postoperative massive hemorrhage was 92% （12 /13）.No severe complications occurred.Conclusion Transarterial embolization is a safe and effective treatment for postoperative massive hemorrhage in patients with abdominal tumors.