经导管动脉栓塞术治疗妇产科难治性出血

Transcatheter arterial embolization for intractable gynecological and obstetric hemorrhage

目的 :探讨经导管动脉栓塞术 (TAE)治疗妇产科难治性出血的疗效和安全性。方法 :妇产科难治性出血1 0例 ,其中清宫术后出血 1例、血管畸形 1例、功能性子宫出血 1例、癌性出血 2例、子宫粘膜下肌瘤出血 2例、产后出血 3例 ,均以Seldinger技术行经皮双髂内动脉或子宫动脉超选择插管栓塞治疗。结果 :1 0例患者中 8例一次性应用TAE治疗止血成功 ;1例经 2次TAE治疗后数日仍旧阴道出血较多 ,行子宫全切术 ;1例因DIC抢救无效死亡。结论 :TAE技术在治疗妇产科难治性出血方面具有止血迅速、方法简单、安全可靠。

Objective:To evaluate the efficacy and safety of transcatheter arterial embolization (TAE)in intractable gynecological and obstetric hemorrhage.Methods:Super-selective TAE of the bilateral internal iliac or uterine arteries was performed in 10 patients with intractable gynecological and obstetric hemorrhage by using Seldinger technique.Results:Of the ten patients, bleeding of eight of them were controlled successfully by the TEA; one patient required a hysterectomy because of recurrent hemorrhage after repeated TAE,another patient was dead from DIC.Conclusion:TAE is a safe,effective and with less complication treatment for intractable gynecological and obstetric hemorrhage,and could preserve patients' fertility.