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To Evaluate the Efficacy of Transcatheter Arterial Embolization for Pelvic Hemorrhagic

Author: WeiTong
Tutor: LiuHongWei
School: Xinjiang Medical University
Course: Medical Imaging and Nuclear Medicine
Keywords: Pelvic hemorrhage Interventional treatment Vascular thrombosis Relapse
CLC: R737.33
Type: Master's thesis
Year: 2010
Downloads: 5
Quote: 0
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Abstract


Objective To evaluate the embolization of different causes the pelvic bleeding disorders including bleeding uterine fibroids , the treatment of cancerous lesions bleeding and pelvic acute bleeding effect . Methods 65 patients were using the right side of the the femoral artery Seidinger puncture technique , 5F Cobra catheter and 0.035 inches derivative guide wire , selective catheterization of the internal iliac artery or uterine artery , Digital subtraction angiography clear the site of bleeding . Basis bleeding into the uterine fibroids bleeding ( 35 cases ) , the cancerous lesions bleeding ( 18 cases ) and pelvic acute bleeding (12 cases) , evaluation of interventional treatment effect of embolization different bleeding . After embolization of complete hemostasis hemostasis part , recurrence and invalid , to determine its prognosis . 65 cases underwent embolization of immediate bleeding stopped , the technical success rate was 100 % . 1 to 2 years of follow - up , 13 patients relapse , the overall response rate was 80% . 5 cases of uterine artery bleeding recurrence , the effective rate of 85.71% ; pelvic acute bleeding group 1 patients relapse , the effective rate of 91.67% ; uterine fibroid embolization and pelvic acute bleeding embolism difference was not statistically significant ( P > 0.05) ; cancerous lesions bleeding group 7 cases of recurrence , the effective rate of 61.11% ; uterine fibroid embolization and cancerous bleeding embolism difference was statistically significant ( P <0.05 ) ; conclusions embolization for uterine fibroids bleeding and pelvic acute bleeding efficacy , effective and less recurrence , minimally invasive, safe , etc. , should be introduced . For the the cancerous lesions bleeding short-term efficacy , in the long-term efficacy remains to be seen .

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CLC: > Medicine, health > Oncology > Genitourinary tumors > Female genital tumors > Uterine tumors
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