65例产科出血性疾病的介入治疗效果分析

Management on 65 cases with obstetrics hemorrhage by uterine artery embolism

目的探讨介入治疗在产科出血性疾病中的临床应用效果。方法回顾性分析2009年1月至2012年6月海南省人民医院产科应用双侧子宫动脉或髂内动脉前干造影并注入明胶海面颗粒行栓塞术治疗65例产科出血患者的临床资料。结果栓塞后的患者出血立即停止或显著减少;清宫术前行介入治疗者术中未见明显出血。1例合并感染者及1例合并严重DIC者介入效果欠佳而行剖腹手术。结论应用介入方法治疗产科出血性疾病具有止血迅速、创伤小、并发症少、保留生育功能等优点,是产科大出血疾病的有效治疗方法。

Objective To investigate the value of uterine artery embolization for treating obstetrics hemor-rhage. Methods From Jan. 2007 to Dec. 2012, 65 cases with obstetrics hemorrhage treated by uterine artery emboli-zation were studied retrospectively. Results Patients after embolization of bleeding immediately stopped or signifi-cantly reduced;Curettage before interventional therapy has no obvious bleeding. For one case with infection and one with serious DIC, the interventional effect was poor, and a laparotomy was finally performed. Conclusion The uter-ine artery embolization is safe and effective for treating or preventing obstetrics hemorrhagic disease, which can retain uterus and procreation function.