急诊动脉栓塞治疗妇产科出血性疾病36例疗效观察

Transcatheter arterial embolization in the treatment of obstetric and gynecologic hemorrhage

目的探讨急诊行动脉栓塞术治疗妇产科出血性疾病的临床应用价值。方法 36例妇产科出血患者,出血量为600-1500ml不等(平均1100ml),行双侧髂内动脉或超选择性子宫动脉造影及栓塞治疗。结果 36例妇产科出血患者,栓塞术后均有效止血,未出现严重并发症。结论经导管动脉栓塞术治疗妇产科出血是一种止血迅速、有效、安全的方法,值得临床推广应用。

Objective To study the clinical value of transcatheter arterial embolization in the treatment of obstetric and gynecologic hemorrhage.Methods 36 patients with obstetric and gynecologic hemorrhage whose volume of bleeding ranged from 600ml to 1500ml （mean 1 100 ml） were treated by bilateral uterine arterial embolization or ilateral iliac arterial embolization.Results The bleeding was successfully controlled by embolization in all the patients.No serious complication happened.Conclusion Transcatheter arterial embolization is a rapid,effective and safe therapeutic measure for the treatment of obstetric and gynecologic hemorrhage.