超选择性髂内动脉分支栓塞术在难治性膀胱肿瘤出血治疗中的应用价值（附11例报告）

Super--selected internal iliac artery branch embolism therapy in the treatment of Refractory bladder carcinoma bleeding

目的：评价超选择性髂内动脉分支栓塞术在难治性膀胱肿瘤出血止血过程中的的疗效及安全性。方法：选取2009年10月至2012年月份11侧实施超选择性髂内动脉分支栓塞术的难治性膀胱肿瘤出血患者作为观察对象，对所有患者行膀胱动脉及双侧髂内动脉栓塞术，术中经动脉灌注抗肿瘤药物。结果：术后1—24h尿液转清，3d内血尿基本消失，随访3～12个月，其中1例再发血尿，经保守治疗有效，无严重血尿复发。结论：超选择性双侧髂内动脉分支栓塞术是治疗难治性膀胱肿瘤出血的有效方法。

Objective： To investigate the curative effects of super-- selected internal iliac artery branch embolism therapy in the treatment of Refractory bleeding resulted from late tumor of bladder. Methods： 11 cases with late tumor of bladder underwent the therapy with short, hair--like outgrowth used in the operation. Results： 1 to 24 hours after operation,the urine of the patients became clear. The bloody urine almost disappeared in 3 days. All patients had no se- vere hematuria after 3-- 12 months of follow up. Conclusion： Super--selected internal iliae artery branch embolism therapy is quite effective in the treatment of Refractory bladder carcinoma bleeding.