[1]邵静波,金泳海,倪才方,等.选择性膀胱动脉栓塞与髂内动脉栓塞治疗重度出血性膀胱炎的效果比较[J].介入放射学杂志,2016,(03):253-256.
 SHAO Jing- bo,JIN Yong- hai,NI Cai- fang,et al.Selective bladder artery embolization and internal iliac artery embolization for the treatment of severe hemorrhagic cystitis: a comparative study[J].journal interventional radiology,2016,(03):253-256.
点击复制

选择性膀胱动脉栓塞与髂内动脉栓塞治疗重度出血性膀胱炎的效果比较 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2016年03期
页码:
253-256
栏目:
临床研究
出版日期:
2016-03-25

文章信息/Info

Title:
Selective bladder artery embolization and internal iliac artery embolization for the treatment of severe hemorrhagic cystitis: a comparative study
作者:
邵静波 金泳海 倪才方 樊宝瑞
Author(s):
SHAO Jing- bo JIN Yong- hai NI Cai- fang FAN Bao- rui
Department of Interventional Radiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
关键词:
【关键词】 出血性膀胱炎 栓塞 膀胱动脉 髂内动脉
文献标志码:
A
摘要:
【摘要】 目的 比较膀胱动脉栓塞与髂内动脉栓塞治疗骨髓移植术后重度出血性膀胱炎(HC)的疗效。方法 收集自2008年3月至2015年5月期间共34例重度HC患者,根据病情采用选择性膀胱动脉栓塞或髂内动脉栓塞控制出血,均采用明胶海绵颗粒栓塞供血动脉。结果 ①34例患者共采用37次栓塞治疗,双侧髂内动脉栓塞14例(A组),血尿消失10例,术后于3~14 d(平均5 d)止血;血尿明显减少1例,手术满意率71%;双侧膀胱动脉栓塞20例(B组),血尿消失16例,术后于2~15 d(平均4 d)血尿消失。3例术后血尿减少,满意率80%。②A组术后疼痛程度2~8分(平均5分),B组术后疼痛程度0~5分(平均3分)。栓塞后综合征(尿频、尿急、发热、腹痛等)持续时间:A组3~10 d(平均4.5 d),B组为2~10 d(平均3.5 d)。结论 ①膀胱动脉栓塞和骼内动脉栓塞两者栓塞效果无明显差异。②选择性膀胱动脉栓塞后反应更轻,持续时间更短,应首选膀胱动脉栓塞术。

参考文献/References:

[1] Gine E, Rovira M, Real I, et al. Successful treatment of severe hemorrhagic cystitis after hemopoietic cell transplantation by selective embolization of the vesical arteries[J]. Bone Marrow Transplant, 2003, 31: 923- 925.
[2] 王静波, 吴 彤, 达万明, 等. 挽救性异基因造血干细胞移植治疗45例复发难治性急性髓系白血病疗效分析[J]. 中华血液学杂志, 2012, 33: 467- 470.
[3] 涂建飞, 刘一之. 髂内动脉栓塞治疗骨髓移植后出血性膀胱炎的评价[J]. 介入放射学杂志, 2006, 15: 267- 269.
[4] Hassan Z. Management of refractory hemorrhagic cystitis following hematopoietic stem cell transplantation in children[J]. Pediatr Transplant, 2011, 15: 348- 361.
[5] Riachy E, Krauel L, Rich BS, et al. Risk factors and predictors of severity score and complications of pediatric hemorrhagic cystitis[J]. J Urol, 2014, 191: 186- 192.
[6] Payne H, Adamson A, Bahl A, et al. Chemical- and radiation- induced haemorrhagic cystitis: current treatments and challenges[J]. BJU Int, 2013, 112: 885- 897.
[7] Miller AN, Glode A, Hogan KR, et al. Efficacy and safety of ciprofloxacin for prophylaxis of polyomavirus BK virus- associated hemorrhagic cystitis in allogeneic hematopoietic stem cell trans- plantation recipients[J]. Biol Blood Marrow Transplant, 2011, 17: 1176- 1181.
[8] 赵广生, 刘 影, 张跃伟, 等. 明胶海绵微粒与洛铂经肝动脉化疗栓塞联合槐耳颗粒治疗原发性肝癌[J]. 中华普通外科杂志, 2013, 28: 85- 86.
[9] Palandri F, Bonifazi F, Rossi C, et al. Successful treatment of severe hemorrhagic cystitis with selective vesical artery emboli- zation[J]. Bone Marrow Transplant, 2005, 35: 529- 530.
[10] Cho CL, Lai MH, So HS, et al. Superselective embolisation of bilateral superior vesical arteries for management of haemorrhagic cystitis[J]. Hong Kong Med J, 2008, 14: 485- 488.
[11] Han Y, Wu D, Sun A, et al. Selective embolization of the internal iliac arteries for the treatment of severe hemorrhagic cystitis following hematopoietic SCT[J]. Bone Marrow Transplant, 2008, 41: 881- 886.

相似文献/References:

[1]唐军,明德国,刘作勤,等.脑动静脉畸形的血管内栓塞治疗[J].介入放射学杂志,2000,(03):144.
[2]王兴华,朱汉洲,李立.腹部手术后消化道出血的介入诊断与治疗[J].介入放射学杂志,2000,(04):240.
[3]王仲朴,王茂强,吴朝阳.经导管子宫动脉栓塞治疗症状性子宫平滑肌瘤的初步经验[J].介入放射学杂志,2000,(04):210.
[4]陈年根,程国勤,周士福,等.肾血管平滑肌脂肪瘤的血管造影表现及栓塞治疗[J].介入放射学杂志,1997,(01):30.
[5]刘福全,梁君,周经志,等.肝、脾及咽部血管瘤的介入治疗[J].介入放射学杂志,1997,(03):142.
[6]高中度,茅爱武,邵维城,等.动脉灌注化疗并栓塞治疗中晚期恶性肿瘤935例临床疗效及并发症分析[J].介入放射学杂志,1998,(03):151.
[7]李明华,陈君彦,顾斌贤,等.颅内动脉瘤可解脱弹簧栓塞治疗——附28例分析[J].介入放射学杂志,1998,(04):194.
[8]陈君彦,方淳,李明华.肢体深静脉血栓形成215例分析[J].介入放射学杂志,1999,(01):12.
[9]朱景伟,刘卫东,范一木,等.经眼上静脉途径栓塞治疗自发性海绵窦硬膜动静脉瘘[J].介入放射学杂志,1999,(02):0.
[10]许奕,刘建民,周晓平,等.电解可脱卸弹簧圈栓塞颅内动脉瘤[J].介入放射学杂志,1999,(02):5.

备注/Memo

备注/Memo:
(收稿日期:2015-09-15)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2016-03-22