膀胱动脉栓塞治疗异基因造血干细胞移植后难治性出血性
膀胱炎的临床分析
禹文君;冯耀良;卢瑞南;钱思轩;缪扣荣;陈丽娟;李建勇;吴汉新
【期刊名称】《中华移植杂志(电子版)》 【年(卷),期】2014(000)002
【摘要】Objective To investigate the clinical efficacy of bladder arterial embolization for refractory hemorrhagic cystitis ( HC ) following allogeneic hemotopoietic stem cell transplantation (HSCT).Methods Six patients undergoing HSCT developed refractory HC with an onset time of 17 to 49 days. All patients received the treatment of bladder arterial embolization because of serious hemorrhage that could not be controlled by conservative treatments .The urine specimens reserved before and after embolization respectively were examined by naked eye and microscope to evaluate the efficacy . Results Bladder arterial embolizations were performed for 6 patients from 5 to 72 days after being diagnosed with HC .The HC was cured in 5 patients and the HC improved in 1 patient .For the patients with response , macroscopic hematuria disappeared 3 to 41 days after the treatments .Three patients were given two bladder arterial embolizations .All procedures were tolerated well and no severe adverse effects were observed .Conclusion Bladder arterial mbolization seems to be a safe and effective treatment for refractory HC following HSCT .%目的:探讨膀胱动脉栓塞治疗异基因造