摘要
目的 观探讨子宫动脉化疗栓塞治疗宫颈癌伴大出血的临床疗效。方法 21例宫颈癌伴大出血患者,采用Seldinger技术穿刺成功后,经导管选择至子宫动脉,共注入氟脲嘧啶0.5+奥沙利铂50mg+丝裂霉素20mg后,用PVA颗粒和明胶海绵颗粒进行栓塞,栓塞后造影,证实栓塞完全。结果 所有患者均一次性插管成功,术后1～3d阴道出血停止,子宫动脉化疗栓塞术后行外科手术切除术或放射治疗。结论 子宫动脉化疗栓塞术治疗宫颈癌伴大出血微创、安全、有效,值得临床进一步推广。
Objective To investigate the clinical efficacy of uterine artery chemoembolization for cervical cancer with bleeding. Methods 21 cases of cervical cancer patients with bleeding, were punctured by the Seldinger technique. Then catheter was chosen to uterine artery, to inject fluorouracil 0.5 ＋ oxaliplatin 50mg ＋ Mitomycin 20mg. Last PVA particles and gelatin sponge particles were used for embolization and angiography was performed to confirm embolization completely. Results All patients stop bleeding after 1-3 days, performed surgical resection or radiation therapy postoperative. Conclusion The method of uterine artery chemoembolization for cervical cancer with bleeding is minimally invasive, safe and effective, it deserves, further promotion.
出处
《当代医学》
2012年第15期71-72,共2页
Contemporary Medicine
关键词
宫颈癌
子宫动脉
化疗栓塞
出血
Cervical cancer
Uterine artery
Chemoembolization
Bleeding
