子宫动脉栓塞治疗产后大出血7例分析

Uterine Artery Embolization for Severe Postpartum Hemorrhage： a report of 7 cases

【目的】探讨介入治疗产后出血的临床效果。【方法】对7例产后大出血患者选择Seldinger技术行右股动脉穿刺插管双侧髂内动脉造影，明确出血部位后注入明胶海绵颗粒行子宫动脉或髂内动脉栓塞。观察治疗效果、并发症发生情况。【结果】患者均一次性用子宫动脉栓塞治疗止血成功，无复发病例，子宫和卵巢的生理功能完好无损．未引发严重并发症。【结论】介入治疗产后大出血止血迅速、成功率高、并发症少，避免了子宫全切或次全切除术．是一种疗效可靠的微创疗法，值得推广应用。

[Objectivc] To evaluate the effect of interventional therapy in the massive postpartum hemor-rhage. [Methods]Seven women with postpartum hemorrhage underwent right femoral artery puncture by Seldinger＇s technique. Superselective catheterization to the bilateral internal iliac arteries and then internal iliac arteries and uterine artery embolization（UAE） with gelfoam particles was performed after the demonstration of bleeding sources and causes. The treatment effectiveness and adverse reaction were observed. [Results]UAE for all patients was all performed successfully one time. There was no recurrence. Ovary, uterus and its physi ological function were reserved and there was no serious complication. [Conclusion]Interventional therapy for treating severe postpartum hemorrhage is a reliable micro-invasive method with stopping bleeding rapidly, higher achievement ratio and less complication, and deserves to use generally. It can replace total hysterectomy or subtotal hysterectomy.