摘要
目的探讨子宫动脉栓塞术治疗产后大出血的临床应用价值。方法对22例产后大出血患者,行股动脉穿刺髂内动脉造影,明确出血部位后,超选插管,根据出血血管情况,经导管注入明胶海绵或(和)普通弹簧钢圈等栓塞双侧子宫动脉,以达到止血目的。结果22例产后大出血患者全部栓塞成功,其中包括3例凝血功能不全患者。随访1月~2年,无一例大出血现象,复查子宫附件未见明显异常。结论超选择性双侧子宫动脉栓塞术用于治疗产后大出血,迅速、安全、有效,无严重并发症,并可保留子宫,该技术应得到广泛应用。
Objective To Investigate the clinic value of uterial artery embolization for treating postpartum massive hemorrhage. Meth- ods 22 cases of postpartum massive hemorrhage underwent femoral artery puncture by seldinger's technique. DSA angiography showed the posi- tion of hemorrhagic artery. All cases of postpartum hemorrhage were performed arteries embolization with gelfoam or/and coil on the basis of hi- bateral uterial artery. Results The embolization succeed in all cases including 3 cases with coagulation disorders. All cases were follow - up visi- ted 1 month to 2 years, no rehaemorrhagia was observed. Conclusion UAE characterized by instant stanching, certain curative effect, minor serious complications , and uterine saving etc. It is a more effective way for the treatment of postpartum massive hemorrhage, this technology should be widely adopted.
出处
《中外医学研究》
2010年第11期5-6,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
介入治疗
产后出血
动脉栓塞
Interventional radiology
Postpartum hemorrhage
Arteries embolization