Mohan C, D'Souza J, Sabhiki G S, Khanna S K
Classified Specialist (Radiodiagnosis) and Vascular Radiologist, 92 BH C/o 56 APO, Military Hospital (CTC), Pune-40.
Classified Specialist (Radiodiagnosis) and Interventional Radiologist, Military Hospital (CTC), Pune-40.
Med J Armed Forces India. 2000 Apr;56(2):110-112. doi: 10.1016/S0377-1237(17)30123-5. Epub 2017 Jun 10.
Emergency and elective embolotherapy of various systemic arteries in 64 patients was carried out at a tertiary centre of Armed Forces. Specific indications were haemoptysis (n=43), preoperative (n=18), haematuria (n=1), epistaxis (n=1) and chemoembolization (n=1). The procedures were performed with gelfoam pellets (n=46), gelfoam pellets and absolute alcohol (n=1), polyvinyl alcohol particles (PVA) (n=14), steel coils (n=2) and Adriamycin-in-oil emulsion (n=1). Embolotherapy resulted in complete haemostasis in 37 (82.2%) out of 45 cases of haemorrhage. In eight cases (17.8%), it resulted in significant improvement. Complete haemostasis was achieved in both cases of haematuria and epistaxis. Pre-operative embolotherapy resulted in considerable reduction of peroperative blood loss in all the cases. Chemoembolization of Hepatocellular carcinoma resulted in partial regression of the tumour. The purpose of this study was to assess the efficacy, safety and reliability of vascular embolotherapy for control of life threatening haemorrhage and preoperative reduction of lesions.
在一家武装部队三级中心，对64例患者的各种体动脉进行了急诊和择期栓塞治疗。具体适应症包括咯血（n = 43）、术前（n = 18）、血尿（n = 1）、鼻出血（n = 1）和化疗栓塞（n = 1）。治疗过程中使用了明胶海绵颗粒（n = 46）、明胶海绵颗粒和无水乙醇（n = 1）、聚乙烯醇颗粒（PVA）（n = 14）、钢圈（n = 2）和阿霉素油乳剂（n = 1）。栓塞治疗使45例出血病例中的37例（82.2%）实现了完全止血。8例（17.8%）病情有显著改善。血尿和鼻出血病例均实现了完全止血。术前栓塞治疗在所有病例中均使术中失血量大幅减少。肝细胞癌化疗栓塞使肿瘤部分缩小。本研究的目的是评估血管栓塞治疗控制危及生命的出血和术前减少病变的疗效、安全性和可靠性。
