顽固性子宫出血介入治疗疗效观察

Therapeutic efficacy of uterine arterial embolization for intractable uterine hemorrhage

目的评价子宫动脉栓塞术在各种原因所致的顽固性子宫出血中的治疗效果。方法对16例顽固性子宫出血患者经常规保守治疗无效后行双侧子宫动脉栓塞术。结果 15例成功超选择入子宫动脉,一次双侧子宫动脉栓塞术后12 h内止血成功率93.8%。1例无法超选择而行髂内动脉栓塞,并出现二次出血而行子宫全切术。结论子宫动脉栓塞术能够迅速有效治疗各种原因导致的顽固性子宫出血,是一种避免切除子宫的首选治疗手段。

Objective To evaluate the therapeutic efficacy of uterine arterial embolization （UAE） for intractable uterine hemorrhage. Methods 16 patients with intractable uterine hemorrhage underwent bilateral UAE after failed conventional conservative treatment. Results Uterine hemorrhage ceased within 12 hours in 15 patients （93.8%） after bilateral super-selective UAE. Internal iliac artery embolization was performed on one patient （6.2%） and hysterectomy was eventually carried out because of recurrent hemorrhage. Conclusion UAE is a rapid and effective treatment method obviating hysterectomy for intractable uterine hemorrhage.