急诊行双侧子宫动脉栓塞治疗妇科大出血的临床价值

Emergency treatment underwent bilateral uterine artery embolization for the clinical value of gynecological hemorrhage

目的通过对11例不同原因引起的妇科大出血患者行急诊止血的临床观察，评价双侧子宫动脉栓塞的临床价值。方法采用Seldinger技术超选双侧髂内动脉和子宫动脉进行栓塞，其中9例行双侧子宫动脉栓塞，1例行双侧髂内动脉栓塞，1例行双侧髂内动脉和子宫动脉同时栓塞。结果9例术后完全彻底止血，1例术后再出血，行子宫切除，1例栓塞后少量出血，经止血药物治疗后停止。结论妇科急性大出血行动脉栓塞治疗，止血迅速，并发症少，是年轻患者止血的同时又能保留子宫的一种首选方法。

Objective： Through the different causes of 11 cases of patients with gynecological hemorrhage clinical observation of emergency bleeding, bilateral uterine artery embolization evaluation of the clinical value. Method： Seldinger technique using ultra-election internal iliac artery and uterine artery embolization, including 9 cases of bilateral uterine artery embolization, a routine internal iliac artery embolization, a routine internal iliac artery and uterine artery embolization at the same time. Result： 9 patients after full and complete stop bleeding, 1 case of postoperative bleeding, hysterectomy, 1 case of bleeding after embolization, the bleeding stopped after drug treatment. Conclusion： Gynecological arterial embolization in the treatment of acute bleeding, bleeding quickly, with few complications in young patients uterine bleeding while retaining a preferred method.