髂内动脉栓塞术治疗放射性膀胱炎所致血尿

目的探讨双侧髂内动脉栓塞术在治疗放射性膀胱炎所致血尿中的作用。方法10例放射性膀胱炎伴血尿经止血治疗后无效,接受了双侧髂内动脉栓塞,其中包括3例宫颈癌和7例直肠癌放疗后出现放射性膀胱炎。所有患者均采用明胶海绵颗粒栓塞髂内动脉。结果10例患者栓塞术后24h内肉眼血尿明显减轻,肉眼血尿消失时间为1～7d(平均4d),随访期间1例患者再出血,经再次栓塞后出血停止。8例患者出现臀部胀痛,考虑为栓塞臀上动脉所致,其余未见明显并发症。结论髂内动脉栓塞治疗放射性膀胱炎伴血尿是安全有效的方法。

Bilateral internal iliac arterial embolization in treating hemorrhagic irradiation cystitis

Objective To evaluate the usefulness of bilateral internal iliac arterial embolization in treament of hemorrhagic radiation cystitis.Methods 10 patients with hemorrhagic radiation cystitis were treated with bilateral internal iliac arterial embolization by using gelatin sponge particles because of repeated hematuria uncontrollable by medication.Among these patients,3 cases were of uterine cervix cancer and the others of rectal carcinoma.Results The hematuria of all patients were relieved significantly within 24 hours after arterial embolization and disappeared during 1 to 7 days(mean 4 d) .1 case with rebleeding during follow-up was re-treated successfully by bilateral internal iliac arterial embolization.No definite severe complication occurred except pygalgia in 8 cases due to embolization of superior gluteal artery.Conclusions Bilateral internal iliac arterial embolization is a safe and effective method in treating hemorrhagic irradiation cystitis.