血管介入栓塞术治疗尿路大出血

目的:研究和评估血管介入栓塞治疗在尿路出血中的作用和价值。方法:运用血管介入栓塞术治疗35例尿路出血,其中肾外伤11例、肾肿瘤13例、膀胱肿瘤9例(3例为手术后)、前列腺癌晚期2例。栓塞材料选用明胶海绵颗粒(或明胶海绵条)、无水乙醇、超液化碘油。结果:全部病例的出血在栓塞后1～3d后完全停止,随访4个月～9年,无复发出血,且肾损伤出血患者保留了部分的肾功能。结论:血管介入栓塞治疗创伤小,疗效显著,可保留部分脏器功能,是治疗尿路大出血的安全有效的方法。

Vascular Interventional Embolization Therapy for the Urinary Tract Hemorrhage

Objective:To study the value of the vascular interventional embolization therapy for the urinary tract hemorrhage.Methods:Vascular interventional embolization treatment was performed in 35 patients with urinary hemorrhage,including 11 cases of renal injury,13 renal tumor,9 bladder tumor (3 postoperative) and 2 late stage of prostate cancer.Embolization materials included gelfoam granules or strips,absolute alcohol and lipiodol ultrafluid.Results:All patients were treated successfully by this method.Hemorrhage was stopped completely after 1~3 days,and no recurrence was observed during the follow up of 4 months to 9 years.The patients with renal injury could reserve renal function within the normal limit.Conclusion:It is suggested that vascular interventional embolization therapy is a safe and efficient method for the treatment of urinary tract hemorrhage.It can reserve the function of the urinary organ within the normal limit.