Yalvac Serdar, Kayikcioglu Fulya, Boran Nurettin, Tulunay Gokhan, Kose M Faruk, Bilgic Sadik, Haberal Ali
SSK Ankara Maternity Hospital, 06010 Ankara, Turkey.
Cancer Invest. 2002;20(5-6):754-8. doi: 10.1081/cnv-120003543.
Ligation of the hypogastric artery has been a standard and effective procedure in controlling massive bleeding in advanced cervical carcinoma. The authors wanted to demonstrate the selective use of embolization of hypogastric or uterine artery to achieve the same end result--the stoppage of vaginal bleeding. In a number of cases, surgical approach may not be appropriate either because of the critically ill patient or because of the highly deformed pelvic anatomy due to radiotherapy or to the recurrence of cancerous tissue. As an alternative therapy, we used selective embolization of the uterine artery in eight patients. In all the patients, embolization served to control bleeding. As the bleeding was brought under control, a gradual recovery of the patient was generally observed. The most common side-effect was temporary severe pain related to ischemia of tumoral tissue. Embolization may be regarded as an effective procedure, which can be used to control massive bleeding in selected cervical cancer patients.
结扎髂内动脉一直是控制晚期宫颈癌大出血的标准且有效的手术方法。作者想要证明选择性栓塞髂内动脉或子宫动脉可达到同样的最终效果——止住阴道出血。在一些病例中，由于患者病情危急，或者由于放疗导致盆腔解剖结构严重变形，或者由于癌组织复发，手术方法可能并不合适。作为一种替代疗法，我们对8例患者采用了子宫动脉选择性栓塞术。在所有患者中，栓塞术均起到了控制出血的作用。随着出血得到控制，通常可观察到患者逐渐康复。最常见的副作用是与肿瘤组织缺血相关的暂时性剧痛。栓塞术可被视为一种有效的方法，可用于控制部分宫颈癌患者的大出血。
