重度产后出血的介入治疗  

Embolization in treatment of severe postpartum hemorrhage:Report of 9 cases

作　　者：张旭[1] 季永军 周春献[2] 

机构地区：[1]吴江市第一人民医院妇产科,江苏吴江215200 [2]吴江市第一人民医院影像科,江苏吴江215200

出　　处：《皖南医学院学报》2009年第1期52-53,共2页Journal of Wannan Medical College

摘　　要：目的:研究子宫动脉栓塞术(uterine arterial embolization,UAE)或髂内动脉栓塞术(internal iliac artery embolization,IIAE)对严重产后出血的疗效。方法:本组9例患者,其中经阴道分娩后出血5例,剖宫产术后出血3例,引产后出血1例,用5F cobra导管行经皮双侧髂内动脉前干插管术,数字减影血管造影(DSA)显示出血部位,然后行子宫动脉栓塞术。结果:9例患者均一次性栓塞成功,无严重并发症。结论:动脉栓塞术治疗严重产后出血具有安全、简单、迅速、有效等特点,是替代子宫切除治疗严重产后出血的有效方法。Objective：To evaluate the outcome of using uterine arterial embolization（UAE） or internal iliac artery emDolization（IIAE） in postpartum massive hemorrhage. Methods ： Spontaneous postpartum hemorrhage of vaginal deliver was seen in 5 cases, bleeding after hysterotomy delivery in 3 and induction delivery in 1. The total 9 patients underwent the embolization by Seldinger catheterization of internal iliac artery with 5F cobra under the monitoring of DSA to show the bleeding sites. Results ：The bleeding was stopped by both UAE or IIAE with no serious complications. Conclusion ： Uterus artery embolization can be effective in treatment of severe postpartum hemorrhage for its safety, easy performance and instant stoppage of bleeding.

关 键 词：产后出血 子宫动脉 介入栓塞治疗 明胶海绵 

分 类 号：R714.461[医药卫生—妇产科学]