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膀胱严重出血和前列腺切除术后前列腺窝难以控制的出血,威胁着患者生命,并给临床处理留下一个难题。已采用的止血方法很多,如明矾溶液冲洗、福尔马林灌注、Helmslein气囊压迫、内窥镜烧灼和尿流转向等。但单用一种方法难以止血。作者提出了一个安全而有效的止血方法——髂内动脉栓塞术。1984年10月～1987年4月,作者用此项技术治疗了8例浸润性膀胱癌接受放疗后大出血和2例前列腺切除术后前列腺窝大出血的病人,他们都因失血而严重贫血。在局麻下用1根标准的动脉导管插入股动脉,在荧光屏引导下进入髂内动脉前支,使用明胶海绵、硬膜或栓塞圈栓塞选定的血管。如果仅作一侧栓塞控制不住出血,应作两侧髂内动脉栓塞。根据需要,还可从同一侧股部穿刺,经过动脉分支进入
Bladder hemorrhage and prostate hemorrhage after prostatectomy difficult to control the bleeding, threatening the lives of patients, and to leave a problem for clinical treatment. There are many ways to stop bleeding, such as alum solution flushing, formalin perfusion, Helmslein balloon compression, endoscopic cauterization and urinary flow diversion. However, a single method is difficult to stop bleeding. The authors propose a safe and effective hemostasis method - internal iliac artery embolization. From October 1984 to April 1987, the authors used this technique to treat eight patients with invasive bladder cancer who received major bleeding after radiotherapy and two patients with massive prosthetic hemorrhage after prostatectomy, all of whom suffered severe anemia due to blood loss. Under local anesthesia, a standard arterial catheter is inserted into the femoral artery and guided into the anterior branch of the internal iliac artery under the guidance of a fluorescent screen. The selected blood vessel is embolized with gelatin sponge, dura mater, or embolization coil. If only for one side of the embolization can not control bleeding, should be made on both sides of the internal iliac artery embolization. According to need, but also from the same side of the femoral puncture, through the arterial branch into