急诊子宫动脉栓塞术治疗产科大出血(附12例报告)

Treatment of serious obstetrical hemorrhage by emergently embolizing uterus artery:a report of 12 cases

目的 评价子宫动脉栓塞术治疗产科大出血的应用价值。方法 本组病例产后大出血4例 ,剖宫产后大出血 5例 ,异位妊娠出血 1例 ,人工流产术后大出血 2例。对 12例患者行急诊血管造影并选择性栓塞子宫动脉或同时栓塞阴部内动脉、卵巢动脉。栓塞物为明胶海绵或弹簧钢丝圈。结果 栓塞后出血完全停止 10例。 2～ 7d后经对症治疗出血逐渐停止 2例 ,未出现严重并发症。结论 急诊子宫动脉栓塞治疗产科大出血是一种安全、迅速有效的止血措施。

Objective To evaluate the value of embolizing uterus artery in the treatment of serious obstetrical hemorrhage. Methods Twelve cases with obstetrical hemorrhage, including postpartum, postcesarean, ectopic pregnant, and artifical abortional bleeding, were treated by embolizing uterus artery. Results All of the 12 patients with obstetrical bleeding were successfully controlled. No serious complication happened. Conclusion The treatment of obstetrical hemorrhage by emergently embolizing uterus artery was safe and effective.