妇科晚期肿瘤重度出血介入治疗的临床分析

目的：探讨介入疗法治疗妇科晚期肿瘤急性重度出血的价值。方法：26例妇科晚期肿瘤急性重度出血,采用经皮以侧髂内动脉的肿瘤供血动脉和出血动脉插管。注入抗癌药和栓塞剂（超注化碘油＋抗癌药乳化剂）以及明胶海绵栓塞化疗。观察肿瘤出血程度及肿瘤变化。结果：26例妇科晚期肿瘤急性重度出血，全部达到临床止血目的，血红蛋白恢复到正常范围内，临床腥臭味、阴道流液体征消失。1个月后复查，肿瘤有不同程度缩小，缩小率为50％－90％。26例患者无并发症。结论：妇科晚期肿瘤重度出血或急性重度出血的患者，采用急诊介入栓塞治疗效果确切，无并发症，值得推广应用。

The clinical analysis of interventional therapy for severe hemorrhage of late stage gynecologic tumor

Objective To evaluate the interventional therapy for severe hemorrhage of late stage gynecological tumor. Methods In total 26 cases of acute severe hemorrhage of late stage gynecologic tumor were included in this group. Percutaneous internal iliac arterial catheterization was performed, followed by super selected catheterization of the feeding artery of the tumor and the bleeding artery. Then anticancer drugs and embolizing agents (lipiodol + gelfoam) were administrated via catheter. The post - procedure follow up was available after the chemo - embotherapy. Results Bleeding ceased and the Hb restored in all 26 cases. Clinical symptoms were improved. The tumors shrunk 50% - 90% in size. No complication was encountered. Conclusion The emergent interventional chem - emblotherapy is a safe and effective treatment of severe hemorrhage of late stage gynecologic tumor.