介入治疗产后大出血

Involvement Treatment for Postpartum Hemorrhage

目的探讨经导管子宫动脉和髂内动脉栓塞治疗产后大出血的临床应用价值。方法选择性双侧髂内动脉和子宫动脉栓塞术治疗16例产后大出血患者,栓塞材料为明胶海绵条或颗粒。结果16例产后大出血,15例一次性完全止血成功,无严重并发症。结论介入栓塞治疗产后大出血具有止血迅速、创伤小、可保留子宫等特点,应作为首选治疗方法。

Objective To explore the clinical practice value of uterine artery and internal iliac artery embolism treating the postpartum hemorrhage. Methods 16 eases with postpartum hemorrhage were treated with selectivity two-side internal iliac artery and uterine artery embolism technique,treats embolism material was the gelatin sponge strip or pellet. Results In 16 cases postpartum hemorrhage, 15 stop bleeding completely without serious complication. Cortclusion Involvement embolism has the characteristics of hematischesis rapid, the wound small, retaining uterine and so on for treating the postpartum hemorrhage, should take as the treatment of first choice.