采用超选择性髂内动脉分支栓塞治疗膀胱前列腺大出血14例,包括放射性膀胱炎大出血2例,原发性前列腺大出血1例,前列腺术后大出血2例,晚期膀胱癌无法手术者9例。栓塞后镜检尿红细胞0～8/HP,6～48h血尿完全控制。全部病例随访1～5年,疗效满意。证实该方法控制膀胱大出血迅速、准确、效果好。本文介绍了超选择髂内动脉分支栓塞术的适应证及栓塞剂的选择,同时对其止血作用机制、操作中注意事项及优点作了讨论。 14 cases of bladder prostatic hemorrhage were treated with superselective internal iliac artery embolization, including 2 cases of massive radiobactic cystitis, 1 case of primary prostatic hemorrhage, 2 cases of massive postoperative prostatectomy and 9 cases of advanced bladder cancer. After embolization microscopic urine red blood cells 0 ~ 8 / HP, 6 ~ 48h hematuria completely controlled. All cases were followed up for 1 to 5 years, with satisfactory results. Confirmed that the method of bladder hemorrhage control quickly, accurately, the effect is good. This article describes the indications for superselective internal iliac artery embolization and the choice of embolic agent, and discusses its mechanism of hemostasis, precautions and advantages in operation.