血管介入在难治性产后出血治疗中的应用  

Application of vascular intervention in the treatment of intractable postpartum hemorrhage

作　　者：张月香[1] 黄宇春[1] 

机构地区：[1]南通大学附属妇幼保健院,江苏南通226006

出　　处：《中国内镜杂志》2010年第1期79-81,共3页China Journal of Endoscopy

摘　　要：目的评价介入治疗用于难治性产后出血的临床价值。方法选择该院2004年4月～2009年4月难治性产后出血患者采用介入治疗15例,采用Seldinger技术行右侧股动脉穿刺术,将导管插入子宫动脉,在数字减影血管造影术(DSA)监视下注入明胶海绵颗粒对出血血管进行栓塞。结果13例患者经介入治疗均达到有效止血,且保留了子宫,无1例死亡。发热及栓塞后综合征为栓塞后最常见的并发症,通常不需特别处理。结论血管介入在难治性产后出血治疗中具有快速、有效、创伤小、恢复快、保留子宫等优点,值得在临床推广。[ Objective ] To evaluate the clinical value of the intervention treatment in the intractable postpartum hemon＇hage. [ Methods ] To select 15 cases of intractable postpartum hemorrhage in our hospital during the period of April 2004 to April 2008 with the application of intervention treatment as samples. By taking the operation of right femoral artery centesis with the adoption of skill of Seldinger, to catheterize the uterine arteries with the surveillance of DSA and to inject gelfoam particles to get embolism of the bleeding vessel so as to stop bleeding. [ Result ] After the treatment, 13 cases were effectively stanched, uterus remained and no one dead. Fever and embolism syndrome are common complications, usually need no special treatment. [ Conclusion ] In the treatment of the intractable post- partum hemon＇hage, vascular intervention has the advantages of quick recovery, effective, minimal invasiveness and uterus-remain, would be worthy of clinical disseminating and applying.

关 键 词：血管介入技术 产后出血 难治性 

分 类 号：R814.47[医药卫生—影像医学与核医学]