盆腔动脉造影对产后大出血原因分析的临床价值

Pelvic arterial angiography to analyze the reason of postpartum hemorrhage.

目的 探讨盆腔动脉造影对产后大出血原因分析的临床价值。方法 收集 10例产后大出血行介入栓塞治疗患者的病历资料与盆腔动脉造影结果 ,对比分析产后出血的原因。结果 7例患者产后出血原因的临床诊断与盆腔动脉造影结合完全一致 ;2例阴道分娩患者临床诊断为宫缩乏力性出血 ,而造影结果显示为子宫下段不完全裂伤 ;1例中孕引产后患者出血原因不清 ,造影显示可能存在子宫血管畸形。结论 盆腔动脉造影可以为产后出血的原因分析提供更为直观、更为确切的依据 。

Objective: To evaluate the diagnostic value of peivic arterial angiography for the reason of postpartum hemorrhage. Methods: Clinical datum of 10 cases postpartum hemorrhage treated with internal artery embolization was compared with their result of arteriography to analyze the hemorrhage reason. Result: Clinical diagnosis of hemorrhage reason in seven cases was accordance with the arteriography. Two cases of normal labor were diagnosed atonic uterus in clinics, while the arteriography indicated that there was incomplete laceration in lower portion of uterus. One case of mid-term pregnancy induced labor with serious hemorrhage could not be explained clearly by clnical data, but the arteriography showed that there was uterine vascular malformation. Conclusion: Pelvic arterial angiography can afford more direct and distinct proof to analyze the reason of postpartum hemorrhage. It has important diagnosis value.