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目的 探讨盆腔动脉栓塞及动脉灌注化疗治疗宫颈癌急性大出血的效果。方法 采用Seldinger’s技术行股动脉插管 ,通过动脉造影确定肿瘤供血动脉 ,先注入化疗药物 ,然后注入明胶海绵颗粒与造影剂的悬浮液直至肿瘤血管显影消失 ,术后观察止血效果并及时开始放射治疗或手术治疗。结果 15例中 14例立即止血 ,1例出血显著减少 ,全部病例及时开始综合放疗 ,无严重并发症发生。结论 肿瘤供血动脉栓塞是有效而迅速的止血方法
Objective To investigate the effect of pelvic arterial embolization and arterial infusion chemotherapy in the treatment of acute massive hemorrhage of cervical cancer. Methods Seldinger ’s technique was used to intubate the femoral artery. Arterial angiography was used to determine the feeding artery of the tumor. Chemotherapy was given first, and then the suspension of gelatin sponge particles and contrast agent was injected until the tumor vessel disappeared. The hemostatic effect was observed and the radiation therapy was started Or surgery. Results Of the 15 cases, 14 cases stopped bleeding immediately and one case had a significant reduction in bleeding. All the cases started radiotherapy in time without serious complications. Conclusion Tumor blood supply artery embolization is an effective and rapid hemostasis method