经导管子宫动脉栓塞术治疗剖宫产后难治性晚期出血  

Transcatheter uterine artery embolization in the treatment of late-stage refractory hemorrhage after cesarean section

作　　者：蔡名金[1] 陈德基[2] 麦伟文[1] 何婉玲[1] 邝惠兴[1] 

机构地区：[1]广州医学院第三附属医院放射科,广东广州510150 [2]广州医学院第二附属医院放射科,广东广州510260

出　　处：《中国介入影像与治疗学》2010年第4期390-392,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经导管子宫动脉栓塞术(TUAE)治疗剖宫产后难治性晚期出血的价值。方法对23例剖宫产后难治性晚期出血患者,以明胶海绵颗粒进行TUAE,观察治疗效果,并对数字减影血管造影(DSA)表现进行分析。结果 22例患者经导管TUAE术后均止血成功,1例术后仍有阴道流血,行全宫切除术,发现为剖宫产术中将大网膜与子宫缝合在一起所致;DSA示动脉早期见对比剂外溢(20例),血管畸形(3例)。本组病例未发生严重并发症。结论 TUAE治疗剖宫产后难治性晚期出血快速、准确、创伤小,值得推广。Objective To evaluate the clinical value of transcatheter uterine artery embolization（TUAE）in the treatment of late-stage refractory hemorrhage after cesarean section.Methods Totally 23 patients with late-stage refractory hemorrhage after cesarean section were treated with TUAE with gelfoam particle.The therapeutic efficiency was observed and the findings of angiography were analyzed.Results Bleeding was successfully controlled with TUAE in 22 patients,except 1 patient who had hemostasis after TUAE,and then underwent abdominal hysterectomy,and the greater omentum of this patient was found stitched with uterine.DSA showed contrast agent spoillovered in 20 patients,vascular malformation in 3 patients.No serious complications occurred.Conclusion TUAE possesses rapid,safe,relatively noninvasive property,and is worthy to be expended conditionally for late-stage refractory hemorrhage after cesarean section.

关 键 词：剖宫产术 产后出血 子宫动脉栓塞 

分 类 号：R719.8[医药卫生—妇产科学]