髂外动脉造影在瘢痕子宫产后出血子宫动脉栓塞术中应用价值

The application value of external iliac artery angiography in uterine artery embolization for postpartum hemorrhage in delivery women with scarred uterus

目的探讨髂外动脉造影对瘢痕子宫产妇产后出血子宫动脉栓塞术(UAE)的意义。方法回顾性分析2016年1月至2016年9月收治的50例瘢痕子宫产后出血产妇临床资料,均接受UAE术,术中同时作双侧髂外动脉造影,观察有无髂外动脉分支血管供血子宫,并栓塞异常供血动脉。结果术后50例瘢痕子宫产后出血产妇出血均停止。其中6例髂外动脉分支血管参与子宫供血,发生概率为12%(6/50)。结论瘢痕子宫产妇产后出血行UAE术时,应予髂外动脉造影,以发现可能参与子宫供血的异常分支。

Objective To discuss the clinical usefulness of external iliac artery angiography in uterine artery embolization（UAE） for postpartum hemorrhage in delivery women with scarred uterus. Methods The clinical materials of 50 delivery women with postpartum hemorrhage complicated by scarred uterus, who were admitted to authors＇ hospital during the period from January 2016 to September 2016 to receive UAE,were retrospectively analyzed. Bilateral external iliac artery angiography was performed during the operation to check whether there was any branch of external iliac artery to supply uterus, and embolization of the abnormal vessel, if there was any, was carried out. Results After embolization, the bleeding stopped in all the 50 patients. Among the 50 patients, the branches of external iliac artery that participated in uterine blood supply were found in 6 patients, its occurrence was 12%（6/50）. Conclusion Before the performance of UAE for postpartum hemorrhage in delivery women with scarred uterus, external iliac artery angiography should be carried out so as to detect the abnormal branches that may be involved in uterine blood supply.