盆腔血管性栓塞治疗的严重并发症分析

Analysis of serious complications in pelvic arterial embolization

目的 研究应用血管性介入栓塞治疗盆腔疾病导致严重并发症的原因 ,进一步提高临床应用的安全性。方法 2 0 1例盆腔疾病患者用Seldinger法穿刺插管行盆腔靶器官的供血动脉栓塞 ,对术后出现的严重并发症进行归纳、总结。结果 发生严重并发症 9例 ,发生率为 4 .5 %。其中臀部缺血坏死 4例 ,尿频、尿急、尿痛、血尿 2例 ,下肢麻木、感觉障碍 2例 ,阴道流脓血性分泌物 2例 ,会阴严重水肿1例。结论 盆腔血管性栓塞治疗中注意控制某些相关因素可有效预防严重并发症的发生。

Objective To analyze the reason of serious complications in pelvic arterial embolization and improve the safety of this procedure. Methods Pelvic arterial embolization therapy was applied by Seldinger's technique in 201 patients who had the diseases of gynecology and obstetrics. Results Serious complications were observed in 9 patients(4.5%) which included 4 cases of breach dermonecrosis, 2 of apathy in lower limb, 2 of bloody urine, 2 of purulent-bloody excretion flowing from vagina and 1 of vulva extreme edema. Conclusions Controlling some relative factors of diseases of gynecology and obstetrics can reduce the complications effectively.