经导管髂内动脉栓塞术治疗盆腔大出血

目的　探讨经髂内动脉栓塞治疗盆腔大出血的栓塞技术、栓塞剂选择和并发症防治。方法　本组 11例 (膀胱癌 3例 ,宫颈癌 5例 ,绒癌 1例 ,产后大出血 2例 ) ,均接受了经导管双侧选择性髂内动脉栓塞术 ,并保留导管 2 4h。栓塞材料为明胶海绵。结果　全部病例 1次栓塞后均立即止血 ,1例 2 4h后再出血而行 2次治疗 ,随访观察 10～ 90d均无再出血。无并发症发生。结论　髂内动脉栓塞术治疗盆腔大出血简便、微创、安全、可靠 ,可作为首选方法

Pelvis Massive Hemorrhage Treated by Transcatheter Internal Iliac Artery Embolization

Objective To explore the embolization technique,embolus choice and preventing complications of transcatheter internal iliac artery embolization in treating pelvis massive hemorrhage.Methods Bilateral selective internal iliac artery embolization utilizing gelfoam was done in 11 patients of pelvis massive hemorrhage (including 3 cases of bladder carcinoma,5 cases of cervix carcinoma,one case of choriocarcinoma and 2 cases of puerperal hemorrhage.Results Prompt hemostasis was obtained immediately after first embolization in all 11 patients,one of them showed recurrent bleeding after 24 hours and underwent treatment again.Patients were followed up for 10~90 days,no hemorrhage or any kind of complication noted in all patients.Conclusion Transcatheter internal iliac artery embolization is a simple,less invasive,safe and effective therapy for pelvis massive hemorrhage,should be taken as the first choice.