ABSTRACT
Hemorrhage after prostate biopsy is common, but hemorrhagic shock is rare. We reported a case of sudden severe hematuria on the third day after prostate biopsy, which was considered to be bleeding at the puncture site. Conservative treatment was ineffective, and interventional embolization was performed. Bilateral bulbar urethral arteries were embolized, and the bleeding was stopped successfully. On the 4th day after embolization, the patient developed hypovolemic shock. Angiography showed bilateral prostatic artery bleeding, and the bleeding site and its superior branch arteries were embolized immediately. At 4 months after embolization, no bleeding related events occurred.
ABSTRACT
Objective To investigate the efficacy of transcatheter selective cystic arterial infusion chemotherapy embolization in the treatment of invasive bladder cancer with hemorrhage.Methods 81 cases of with invasive bladder cancer and hemorrhage treated by superselective intervention in hospital were selected,as well as postoperative complications and tumor volume changes were recorded in followG up.Results The success rate of intubation and embolization was 100%,the immediate hemostasis rate was 97.53%,and the preoperative bladder tumor volume (4.08±1.66)cm was significantly larger than that of the six months after surgery (3.45±1.33)cm.Conclusion Superselective cystic arterial perfusion embolization is a safe and effective treatment for patients with invasive bladder cancer complicated with hemorrhage.
ABSTRACT
Objective To compare the value of UF‐1000i urinary sediment analyzer and phase‐contrast microscopy in identify source of hematuria .Methods A total of 98 patients diagnosed as hematuresis from December 2013 to May 2014 in the Affiliated Hospital of Putian Institute were enrolled in this study .Both the urinary sediment examination and phase‐contrast microscopy ex‐amination were conducted on the patients .According to clinical diagnosis results ,the sensitivity and specificity of the two methods were calculated and compared .Results The sensitivity of UF‐1000i urinary sediment analyzer (95 .3% ) was higher than that of the phase contrast microscope (81 .9% ) ,the difference was significant (P < 0 .05) ,while the specificity of phase contrast microscope (92 .3% ) was higher than that of UF‐1000i urinary sediment analyzer(89 .2% ) ,the difference was significant(P < 0 .05) .Conclu‐sion Combining application of UF‐1000i urinary sediment analyzer and phase contrast microscope has great clinical significance .