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目的探讨经动脉栓塞治疗腹腔肿瘤患者术后大出血的可行性及疗效。方法 2004年1月至2009年12月13例腹腔肿瘤患者因术后大出血接受经动脉栓塞治疗。对这些患者的临床资料及造影栓塞过程进行回顾性分析。结果 13例患者中有10例经过一次栓塞出血即得到控制。在栓塞后再次出现出血的3例患者,血管造影发现出血动脉不同。2例经再次栓塞出血得到控制,1例由于微导管无法超选择到出血部位而行手术治疗。经动脉栓塞治疗术后大出血总的临床成功率为92%(12/13)。未出现严重并发症。结论经动脉栓塞治疗腹腔肿瘤患者术后大出血安全、可行。
Objective To investigate the feasibility and efficacy of transcatheter arterial embolization in the treatment of postoperative hemorrhage in patients with peritoneal tumor. Methods From January 2004 to December 2009, 13 patients with peritoneal tumor underwent transcatheter arterial embolization after massive hemorrhage. The clinical data of these patients and the angiography and embolization were retrospectively analyzed. Results Thirteen of the 13 patients were controlled by an embolic hemorrhage. Three patients who developed bleeding again after embolization were found to have different arterial bleeding by angiography. 2 cases were controlled by re-embolization bleeding, 1 case due to microcatheter can not be super-selected to the bleeding site and surgical treatment. The overall clinical success rate of major bleeding after arterial embolization was 92% (12/13). No serious complications occurred. Conclusions Transcatheter arterial embolization in patients with peritoneal tumor bleeding after surgery is safe and feasible.