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Superselective arterial embolization for hemorrhage from malignant gestational trophoblastic tumor
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:0529-567X.2002.01.003
- Key Word:
- 滋养层肿瘤;栓塞,治疗性;出血
Abstract： 目的评价超选择性动脉栓塞术控制恶性滋养细胞肿瘤灶大出血的效果.方法自1990年2月?01年6月,因瘤灶大出血而行超选择性动脉栓塞术治疗的恶性滋养细胞肿瘤患者31例,其中绒毛膜癌患者24例,侵蚀性葡萄胎7例.出血部位分别为,子宫22例,阴道3例,肝脏3例,膀胱2例,肠道1例.动脉栓塞治疗后所有患者均接受了化学药物治疗.结果 28例(90.3%)患者通过超选择动脉栓塞术成功控制出血;3例(9.7%)再次出血的患者,经手术证实均为子宫穿孔,行子宫切除术.26例(83.9%)患者化学药物治疗后痊愈,其中4例患者再次妊娠成功并足月分娩.结论超选择性动脉栓塞术可有效控制恶性滋养细胞肿瘤灶的大出血.
- [1]万希润,杨秀玉.血管性介入放射学在妇产科中的应用[J].2001,(3).
- [2]万希润,杨秀玉.恶性滋养细胞肿瘤的化学疗法[J].2001,(7).
- [3]I. Mihmanli,M. Cantasdemir,F. Kantarci,etc.Percutaneous embolization in the management of intractable vaginal bleeding[J].2001,264(4).
- [4]S K, Sepp?nen,M J, Lepp?nen,G, Pimenoff,etc.Microcatheter embolization of hemorrhages.[J].1900,20(3).
- [5]C N, Jenkins,J, McIvor.Survival after embolization of the internal iliac arteries in ten patients with severe haematuria due to recurrent pelvic carcinoma.[J].1996,51(12).
- [6]J, McIvor,E W, Cameron.Pregnancy after uterine artery embolization to control haemorrhage from gestational trophoblastic tumour.[J].1996,69.
- [7]J, R?sch,C T, Dotter,M J, Brown.Selective arterial embolization. A new method for control of acute gastrointestinal bleeding.[J].1972,102(2).
- [8]P, Hendrickx,G, Orth,J H, Grunert.Long-term survival after embolization of potentially lethal bleeding malignant pelvic tumours.[J].1995,68.
- [9]沈铿,杨秀玉,宋鸿钊,等.选择性动脉栓塞治疗滋养细胞肿瘤并发腹腔内出血[J].1994,(2).
- [10]M W, Method,M, Hirschfield,H E, Everette.Angiographic-guided embolization of metastatic invasive mole.[J].1996,61(3).