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目的:探讨超选择性膀胱动脉栓塞治疗老年难治性膀胱癌出血的临床价值。方法:使用介入治疗技术,对52例膀胱癌出血患者进行超选择性膀胱动脉栓塞。结果:22例在超选择性栓塞术后24 h均可见尿液颜色变浅,29例在48 h后出血停止;1例出血减少,经止血、持续膀胱冲洗后,血尿症状明显改善。结论:对于膀胱癌并发出血保守治疗无效的患者,超选择性介入栓塞治疗是一种安全、可靠、有效的方法。
Objective: To investigate the clinical value of ultra-selective bladder artery embolization in the treatment of hemorrhagic bleeding in elderly patients with refractory bladder cancer. Methods: Fifty-two patients with bladder cancer hemorrhage underwent ultra-selective bladder artery embolization using interventional therapy. Results: Twenty-four cases of super-selective embolization were visible urine color lighter, 29 cases of bleeding stopped after 48 h; 1 case of bleeding decreased, after hemostasis, continuous bladder irrigation, hematuria symptoms improved significantly. Conclusion: Superselective embolization is a safe, reliable and effective method for the treatment of bladder cancer complicated with conservative treatment of bleeding.