65例妇产科急性大出血临床治疗及分析

Clinical analysis and treatment of 65 cases patients with gynecological massive hemorrhage

目的探讨动脉栓塞治疗术在妇产科大出血中的临床价值。方法对65例保守治疗无效的妇产科大出血患者进行介入性动脉栓塞治疗,并对临床数据进行回顾性分析和总结。结果 63例患者通过动脉栓塞手术后,阴道大出血现象均在半小时内得以控制,并都在两个星期内阴道完全停止出血,未见严重并发症。2个月以内恢复正常月经,其他2例失败,成功率为97%。结论介入性动脉栓塞技术在治疗难治性妇产科大出血中,既有迅速止血、并发症少的优点,又有保留年轻患者生育能力的功能,因此是治疗妇产科大出血的首选方案。

Objective To investigate the value of arterial embolization iatrotechnics for treating abstetrics hemorrhage. Methods Sixty-five obstetrics patients which were ineffective by using conservative treatment were undergone uterine artery stereography and embolization, and clinical data were retrospectively analyzed. Results Vaginal bleeding of 62 obstetrics patients were controled in half an hour by arterial embolization iatroteehnics, and were stopped within two weeks without severe complications. The other two cases failed, and the success rate was 97%. Conclusion The arterial embolization is safe, effective in treating or preventing obstetrics hemorrhagic diseases, and can retain reproductive ability for young patients, and is the first scheme for treating obstetrics hemorrhage.