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髂内动脉栓塞治疗骨髓移植后出血性膀胱炎的评价 被引量:8

The role of bilateral internal iliac arterial embolization in the treatment of hemorrhagic cystitis after bone marrow transplantation
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摘要 目的探讨双侧髂内动脉栓塞在骨髓移植后出血性膀胱炎(HC)治疗中的作用。方法28例HC中7例经内科保守治疗无效的患者接受了双侧髂内动脉栓塞。其中包括慢性粒细胞白血病3例,急性粒细胞白血病2例,急性淋巴细胞白血病和急性粒-单核细胞白血病各1例。所有患者均采用明胶海绵颗粒栓塞双侧髂内动脉脏支。结果7例患者共进行了9次栓塞。4例次患者肉眼血尿消失,出血停止时间2~10d(平均6d),随访期间未出血(12~82d);3例次血尿减少;2例次无效。未见明显与栓塞治疗直接相关的并发症。结论采用双侧髂内动脉栓塞治疗骨髓移植后重度出血性膀胱炎,栓塞效果好、不良反应小,是一行之有效的方法。 Objective To evaluate the usefulness of bilateral internal iliac arterial embolization in the treatment of hemorrhagic cystitis after bone marrow transplantation. Methods Among 28 patients with hemorrhagic cystitis, 7 patients experienced bilateral internal iliac artery embolization because of serious hemorrhage that couldn't be controlled by conservative treatments, including CML (n = 3) , AM L (n = 2) , ALL (n = 1 ),acute myelomonocytic leukemia(M4, n = 1 ). Embolization of the target vessels was performed by using gelfoam particleas for bilateral internal iliac arterial visceral branches. Results Gross hematuria disappeared in 4 cases after embolization by gelfoam particles. The time of bleeding controlled continued 2-10 d(mean 6 d). No rebleeding was observed in all of the cases during the 12 - 82 days follow up.Gross hematuria markedly reduced in another 3 cases after embolization. But failure occurred in other two patients. No definite complication related to the procedure was noted. Conclusion Bilateral internal iliac arterial embolization is an effective, less invasive, and safe method for serious hemorrhagic cystitis after bone marrow transplantation. (J Intervent Radiol, 2006, 15 : 267-269)
出处 《介入放射学杂志》 CSCD 2006年第5期267-269,共3页 Journal of Interventional Radiology
关键词 骨髓移植 出血性膀胱炎 出血 栓塞 治疗性 Bone marrow transplantation Hemorrhage cystitis Hemorrhage Embolization, therapeutic
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  • 1Susan FS,Roberj JH,Daniel JW.Hemorrhagic cystisis after bone marrow transplantation:risk factors and complications[J].Transplantation,1993,56:875-879.
  • 2Nevo S,Vogelsang G.Acute bleeding complications in patients after bone marrow transplantation[J].Hematology,2001,8:319-325.
  • 3Garderet L,Bittencourt H,Sebe P,et al.Cystectomy for hemorrhagic cystitis in allogeneic stem cell transplant recipients[J].Transplantation,2000,70:1807-1811.
  • 4Seber A,Shu XO,Defor-T,et al.Risk factors for severe hemorrhagic cystitis following BMT[J].Bone Marrow Transplant,1999,23:35-40.
  • 5董文川,郭乃榄.异基因骨髓移植合并出血性膀胱炎:(附14例报告)[J].中华器官移植杂志,1992,13(3):109-111. 被引量:1
  • 6李成文,严文伟.骨髓移植后出血性膀胱炎[J].国外医学(输血及血液学分册),1992,15(6):331-334. 被引量:2
  • 7Tabbara IA,Zimmerman K,Morgan C,et al.Allogeneic hematopoietic stem cell transplantation:complications and results[J].Arch Intern Med,2002,162:1558-1566.
  • 8陆道培,郭乃榄.异基因骨髓移植的国内外现状和展望[J].中华器官移植杂志,1994,15(1):7-10. 被引量:3
  • 9周洁 郭乃榄 郑缓.异基因骨髓移植的国内外现状和展望[J].中华血液学杂志,1995,17:64-66.
  • 10Pihusch R,Salat C,Schmidt E,et al.Hemostatic complications in bone marrow transplantation:a retrospective analysis of 447 patients.Transplantation,2002,74:1303-1309.

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