摘要
盆腔大出血(PMH)手术止血困难,常危及患者生命.经导管栓塞治疗(TCE)是抢救患者生命的有效措施,能立即和持久止血。我院自1987年以来,采用TCE 治疗盆腔大出血18例,其中产伤,产后出血8例,妇科肿瘸出血7例(绒癌2例、恶葡2例,子宫肌瘤术后出血2例、卵巢癌出血1例),直肠癌侵及膀胱和阴道大出血各1例,臀部刀伤后血肿1例。全部病例中除1例产后大出血经多次栓塞才止血外,其余病例均1次栓塞后立即止血,并随访观察(观察时间2～102天)均无再出血.所用栓塞剂为明胶海绵,部分病例采用明胶海绵与闭塞弹簧圈合并应用.全部病例除栓塞后一过性臀部缺血性疼痛外,无1例有并发症发生.本文对栓塞方法、栓塞剂的选择及并发症进行了探讨.
The pelvic massive hemorrhage(PMH)is life-threaten and is diffi-cult to be stopped by operation.Tran-scatheter embolization(TCE)is a han-dy,save and effective method of res-cuing the patients.It can stop the ble-eding immediately and permanently.Since 1987,18 cases of PMH have beentreated by TCE including 8 cases ofpostpartum or obstetric injusy,7 casesof uterotubal neoplasm(choriocarcino-ma 2,ovary cancer 1,malignanthydatidiform mole 2 and post-hystero-myomectomy 2),2 cases of rectal car-cinoma with infiltration of bladder andvagina respectively and 1 case of stabwound of buttock.All but one werestanched immediately after TCE and norebleeding occured in follow-up period(2-102 days).One case of postpartumhemorrhage was stanched through threetimes of TCE.The embolic materialswere mainly gelfoam,some cases addedauto-spring coils.Besides the transientischemic pain of buttock in part of thecases,no other complications presen-ted.The embolization technique,em-bolic materials and complications ofTCE in treating PMH are discussed.
出处
《临床放射学杂志》
CSCD
北大核心
1992年第2期89-91,T013,共4页
Journal of Clinical Radiology
