盆腔动脉栓塞术治疗产后出血的研究新进展

Progress on the treatment of postpartum hemorrhage by pelvic arterial embolization

产后出血(PPH)是现今孕产妇分娩最严重的并发症之一,同时是导致产妇死亡的首要原因,其处理应尽可能快速、简单和保守。子宫动脉结扎术、子宫切除术等传统治疗方法虽然可以达到止血目的,但也给孕产妇造成包括内分泌紊乱、丧失生育能力等创伤。盆腔动脉栓塞术(PAE)是一种新的保守治疗技术,因其止血迅速、侵袭性低、安全性高和可保留生育功能等优势而越来越普遍地得到临床应用,已成为原发性产后出血潜在的治疗方法之一。文章针对盆腔动脉栓塞术在产后出血治疗中的应用以及国内外研究的新进展进行了综述。

Postpartum hemorrhage(PPH)is one of the most severe childbirth complications and the main reason when it comes to perinatal death of pregnant women,and the management for PPH should be as quick,simple and conservative as possible.Although the traditional therapeutic methods such as uterine artery ligation or hysterectomy can achieved the purpose of hemostasis,they also cause greater trauma to the pregnant women including endocrine disorders,loss of fertility,etc.However,pelvic artery embolization(PAE),a new conservative treatment technique,has been more and more widely used because of its rapid hemostasis,low invasiveness,high safety and fertility preservation,and has become one of the potential treatment methods for primary PPH.This paper reviewed the application of PAE in the management of PPH and the research progress on PAE.