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经导管动脉栓塞术在妇科出血治疗中的应用

Transcatheter arterial embolization in the management of gynaecological bleeding.

作者信息

Wilms G, Peene P, Baert A L

机构信息

Department of Radiology, University Hospitals KU Leuven, Belgium.

出版信息

J Belge Radiol. 1990 Jan;73(1):21-5.

PMID:2318796
Abstract

Transcatheter arterial embolization was attempted in ten patients with gynaecological bleeding. It concerned eight malignant lesions (five cases of spinocellular carcinoma of the uterine cervix, one case of endometrium carcinoma, one case of choriocarcinoma and one case of vulvovaginal metastasis of hypernephroma), and two benign lesions (one uterine arteriovenous malformation and one bleeding after curettage). Bleeding could be stopped in six patients and considerably reduced in two. In two patients selective catheterization of the uterine artery was impossible due to atherosclerotic tortuosity in one and tumoral invasion in the other.

摘要

对10例妇科出血患者尝试进行经导管动脉栓塞术。其中涉及8例恶性病变(5例宫颈鳞状细胞癌、1例子宫内膜癌、1例绒毛膜癌和1例肾上腺皮质癌外阴阴道转移),以及2例良性病变(1例子宫动静脉畸形和1例刮宫后出血)。6例患者出血得以停止,2例患者出血显著减少。2例患者因1例存在动脉粥样硬化迂曲、另1例存在肿瘤侵犯而无法进行子宫动脉选择性插管。

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