选择性动脉明胶海绵栓塞治疗子宫大出血的临床研究  

The clinical research of selective arterial embolism interventional therapy with spongia gelatinosa for the uterine hemorrhage

作　　者：王绍胜[1] 刘卫东[2] 周祝谦[1] 董杰[1] 

机构地区：[1]山东大学附属千佛山医院影像科,山东济南250014 [2]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2010年第3期414-416,共3页Journal of Medical Imaging

摘　　要：目的:探讨明胶海绵介入治疗子宫大出血的临床应用价值。方法:回顾性分析13例子宫大出血患者,所有病例均采用Seldinger技术行右股动脉穿刺插管双侧髂内动脉造影,明确部位后,超选择双侧子宫动脉插管注入明胶海绵颗粒,阻断供血,行子宫动脉或髂内动脉栓塞。结果:13例患者均获有效止血,无严重并发症发生,并保留了子宫和卵巢完整的生理功能。结论:采用明胶海绵介入治疗子宫大出血是一种安全有效的治疗方法,具有明显的临床诊断和治疗价值。Objective：To study the clinical value of the transcatheter uterine artery embolization（TUAE） with spongia gelatinosa in the treatment of the uterus massive hemorrhage were reviewed.Methods：13 cases injured with uterine massive hemorhage were reviewed,All cases were subjected to bilater uterine arterial cannulation by Seldinger＇s skill,after affirmed the uterine hemorrhage by visualization,injected gelatin sponge particle to obstruct blood supply.Ultraselection transcatheter uterine artery embolization or transcatheter internal iliac artery embolization was perforrned.Results：All cases were stopped bleeding effectively after TUAE.There was no serious complication,and the physiological function of the uterus and the ovary were saved.Conclusion：The transcatheter uterine arterial embolization is an effective therapy method with microtrauma for uterus massive hemorrhage.

关 键 词：子宫大出血 动脉栓塞 明胶海绵 治疗 介入 

分 类 号：R815[医药卫生—放射医学] R711.52[医药卫生—临床医学]