[1]孙昊,李晓光,金征宇,等.经导管超选择性动脉栓塞治疗恶性滋养细胞肿瘤大出血[J].介入放射学杂志,2010,(06):447.
 SUN Hao,LI Xiaoguang,JIN Zhengyu,et al.Transcatheter superselective arterial embolization for the treatment of massive hemorrhage due to malignant gestational trophoblastic tumors[J].journal interventional radiology,2010,(06):447.
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经导管超选择性动脉栓塞治疗恶性滋养细胞肿瘤大出血()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年06期
页码:
447
栏目:
肿瘤介入
出版日期:
2010-06-15

文章信息/Info

Title:
Transcatheter superselective arterial embolization for the treatment of massive hemorrhage due to malignant gestational trophoblastic tumors
作者:
孙昊李晓光金征宇
100730北京中国医学科学院北京协和医院放射科
Author(s):
SUN HaoLI Xiao-guangJIN Zheng-yuYANG NingLIU WeiPAN JieZHANG Xiao-boSHI Hai-fengZHOU KangWANG Zhi-wei.
Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing100730,China
关键词:
妊娠滋养细胞肿瘤出血经导管动脉栓塞超选择性
分类号:
R737.33
文献标志码:
A
摘要:
目的评价经导管超选择性动脉栓塞治疗恶性滋养细胞肿瘤大出血的疗效及安全性。方法自1994年1月至2009年12月,共80例患者因恶性滋养细胞肿瘤大出血接受经导管超选择性动脉栓塞术治疗,其中侵蚀性葡萄胎18例,绒毛膜癌59例,胎盘部位滋养细胞肿瘤3例。出血部位包括子宫58例,阴道14例,盆腔2例,膀胱2例,肝脏3例和直肠1例。根据临床诊断及血管造影表现栓塞出血动脉,栓塞材料采用明胶海绵、弹簧圈及聚乙烯醇颗粒。术后随访3至120个月(平均30个月)。结果全部患者超选择性动脉插管均获成功,60例(75.0%)造影见出血阳性征象。73例患者(91.3%)出血成功控制,1例患者(1.3%)术后第3天因多器官衰竭死亡,6例患者(7.5%)再次出血,经手术治疗。动脉栓塞术后不良反应包括一过性躯体疼痛30例(37.5%)和发热45例(56.3%)。结论经导管超选择性动脉栓塞治疗恶性滋养细胞肿瘤大出血有效、安全,可作为首选治疗方法。

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备注/Memo

备注/Memo:
收稿日期:2010-03-29
更新日期/Last Update: 2010-06-15