栓塞治疗对改善高龄膀胱癌出血患者生活质量的临床意义
DOI: 10.3971/j.issn.1000-8578.2015.04.013
Keywords: A Systematic Review,Clinical Evaluation of Bladder-sparing Surgery Combined with Internal Iliac Artery Chemotherapy for Muscle-invasive Bladder Cancer Patients,Value of Circulating Tumor Cells in Early Monitoring of Bladder Cancer Micrometastases,Molecular Mechanism of RhoGDI2 Inhibiting Metastasis of Bladder Cancer,Effects of High-dose Chemotherapy Supported by Autologous Peripheral Blood Stem Cell on Quality of Life of Advanced Breast Cancer Patients,Recent Progress on Isolating Bladder Cancer Stem Cells,Neoadjuvant Chemotherapy in Muscle-invasive Bladder Cancer,High-intensity Focused Ultrasound Compared with Three-dimensional Conformal#br# Radiotherapy in Treatment for Portal Vein Tumor Thrombosis,Impact of Different Treatment Models on Prognosis and QOL of Patients with Stage ⅡB Cervical Cancer,Review on Clinical Application and Basic Research of Kang’ai Injection on Cancer,Progress and Development Trend of Treatment for Urological Tumor,Improvement of Sorafenib on Recent Quality of Life for Patients with Terminal-stage#br# Hepatocellular Carcinoma,Study on Neoadjuvant Chemoradiation for Elderly Patients with Local Advanced Esophageal Squamous Carcinomas,Effect of Informed Status on Quality of Life in Lung Cancer Patients
Abstract:
摘要 目的 评价经导管动脉栓塞术治疗对改善高龄膀胱癌出血患者生活质量的临床意义。方法 回顾性分析23例高龄膀胱癌合并出血患者行栓塞治疗的临床资料，其中19例实施了双侧栓塞、4例实施了单侧栓塞。对栓塞术后造影结果、血尿控制、生活质量、并发症状况进行评估观察。结果 插管造影技术成功率100%，20例患者术后1~5天（平均3天）血尿停止（20/23，87.0%），其余3例再次行栓塞术后出血停止。4例患者分别在术后3、4、4、6月再次出现血尿症状，远期临床成功率为82.6 %。术后7天生活质量较术前明显改善（P<0.001），术后无误栓、膀胱坏死、肾功能损伤等严重并发症。结论 经导管动脉栓塞术治疗高龄膀胱癌出血疗效确切、生活质量明显改善，且创伤小、并发症少， 可作为一种优先选择的临床治疗手段
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