单侧靶血管栓塞在盆腔中线区大出血中的应用

目的：探讨单侧靶血管栓塞在盆腔中线区域大出血中的疗效。方法：回顾性分析在本院行单侧靶血管栓塞的8例盆腔大出血患者的病例资料，其中骨盆骨折3例，直肠外伤2例，人流术后1例，膀胱出血2例。术中导管选用5FYashiro管及3F微导管SP，栓塞材料均选用术中临时制备明胶海绵颗粒或条。结果：骨盆骨折与直肠外伤5例一次栓塞成功，随访3～6个月无出血发生；剩余3例40min-15d内经第2次双侧栓塞后才成功止血。结论：对于年龄与病情较轻、发病时间短的单侧或一侧优势型阴部内动脉或直肠上、下动脉外伤性出血患者，可以选用耗时短、安全性高、并发症少的单侧靶动脉栓塞止血。

Investigation on single-sided target artery embolization for the hemorrhage in the middle of pelvic region

Objective：To explore the effectiveness of target arterial embolization for massive hemorrhage in the middle of pelvic region. Methods： Eight cases with acute pelvic massive bleeding were retrospectively analyzed. Bleeding causes were as follows：pelvic fractures in 3,rectal trauma in 2,artificial abortion in 1, bladder diseases in 2 cases. 5F Yashiro interven-tional catheter and 3F microcatheter （SP） were used with gelatin sponge particles and cuttings. Results：Five cases of pelvic fracture and rectal trauma were embolized successfully at one time without similar symptoms in the following 3-6 months. The remaining 3 cases underwent double-sided embolization within 40min-15d for treatment of further bleeding. Conclu- sion：One-sided target arterial emholization can he used for the young patients with slight symptoms,who are categorized as a single-side or one-side dominant internal pudendal artery bleeding or upper and lower rectal artery bleeding within a shor-ter time of onset. This technique is less time-consuming, much safer, and has fewer complications.