真丝线段附加明胶海绵或PVA颗粒栓塞子宫动脉治疗产后大出血的应用观察

Application study of uterine artery embolization by real silk segment and gelfoam or PVA particles in treating postpartum massive hemorrhage

目的:探讨真丝线段附加明胶海绵或PVA颗粒栓塞子宫动脉对产后大出血的疗效。方法:选择16例大出血患者采用Seldinger技术超选择插管至双侧子宫动脉行DSA造影找出出血血管,用真丝线段附加明胶海绵颗粒或PVA颗粒栓塞靶血管。结果:16例患者均经DSA造影证实出血动脉已完全栓塞。术后1周未再出血。血压稳定,血红蛋白回升至正常水平。结论:真丝线段附加明胶海绵或PVA颗粒超选择栓塞治疗产后大出血疗效安全,栓塞材料易制备,价廉、经济、实用,贫困地区或基层医院尤宜推广使用。

Objective：To investigate the curative effect of uterine artery embolization by real silk segment and gelfoam or PVA particles in treating postpartum massive hemorrhage.Methods：16 cases of postpartum massive hemorrhage were selected.To adopt the Seldinger technique for super-selective catheterization into lateral uterine arteries and finding out the bleeding blood vessel.The target blood vessel was embolized by real silk segment and gelfoam or PVA particles.Results：DSA imaging demonstrated that the bleeding artery was completely embolized in 16 cases. After one weeks of operation, rebleeding did not occur with stable blood pressure and hemoglobin increasing to normal.Conclusion ：Super-selective embolization by real silk segment and gelfoam or PVA particles for treating postpartum massive hemorrhage is safe,reliable, economic and practical with easy preparation of embolic material,which is worth promoting in the poor areas and basic hospitals.