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目的探讨经导管动脉栓塞术(Transcatheter artery embolization,TAE)治疗医源性损伤出血的临床应用价值。方法对30例医源性损伤出血患者(子宫出血15例;腹腔出血5例;泌尿道出血4例,其中肾结石手术1例,膀胱癌手术1例,前列腺增生手术1例,肾血管平滑肌脂肪瘤手术1例;消化道出血4例;鼻出血2例),术前均行数字减影血管造影,明确出血部位,采用经导管动脉栓塞出血靶动脉的方法,根据靶血管情况选用不同栓塞剂,使出血靶动脉闭塞,从而达到止血治疗目的。结果技术成功率100%。所有患者经栓塞治疗后,随访复查,均无再出血,且未出现其他严重并发症。结论采用经导管动脉栓塞术治疗医源性损伤出血方法简便、快捷、安全、高效,是一种行之有效的治疗手段。
Objective To investigate the clinical value of transcatheter arterial embolization (TAE) in the treatment of iatrogenic injury. Methods Thirty cases of iatrogenic injury and bleeding (15 cases of uterine bleeding, 5 cases of intraperitoneal bleeding, 4 cases of urinary tract bleeding, 1 case of kidney stone surgery, 1 case of bladder cancer surgery, 1 case of benign prostatic hyperplasia, 1 case of renal vascular smooth muscle fat 1 case of tumor operation, 4 cases of gastrointestinal bleeding and 2 cases of nasal hemorrhage. All patients underwent digital subtraction angiography before operation to determine the site of hemorrhage. The target vessel was transcatheter arterial embolization. According to the target vessel, different embolic agents , So that bleeding target artery occlusion, so as to achieve the purpose of hemostasis. Results of technical success rate of 100%. All patients after embolization treatment, follow-up review, no rebleeding, and no other serious complications. Conclusion The transcatheter arterial embolization is a convenient, rapid, safe and effective method for the treatment of iatrogenic injury and bleeding. It is an effective treatment.