动脉栓塞术治疗难治性产后出血16例分析  

Artery Embolization Treatment in 16 Cases of Severe Postpartum Hemorrhage

作　　者：郭雪箐[1] 郭跃文[1] 蒋丽江[1] 莫慧芬[1] 周琼[1] 侯桂玉[1] 

机构地区：[1]广东省佛山市顺德区第一人民医院,广东佛山528300

出　　处：《中国医学创新》2012年第16期109-110,共2页Medical Innovation of China

摘　　要：目的:探讨动脉栓塞术治疗难治性产后出血的临床效果。方法:对16例采用双侧子宫动脉和(或)髂内动脉栓塞术治疗产后大出血的患者临床资料进行回顾性分析。结果:11例有效止血,5例失败:其中3例行B-Lynch子宫缝扎术,其中1例仍无效而行子宫切除术,另有2例直接行子宫切除术。结论:介入治疗产后大出血具有止血迅速、创伤小、可保留子宫等特点,应作为首选治疗方法。而在介入治疗效果不佳的情况下,应果断地实行手术治疗甚至切除子宫。Objective:To study the clinical effect of artery embolization treatment for severe postpartum hemorrhage(SPPH).Methods:A total of 16 patients with SPPH underwent uterine artery embolization and(or) internal iliac artery embolization.Results:11 cases stopped bleeding.Five cases failed,three of which underwent B-Lynch brace suture,and at last one case underwent hysterectomy for inefficacy.The other two cases directly underwent hysterectomy.Conclusions:Artery embolization for postpartum hemorrhage is associated with quick hemostasis,less trauma and reservation of uterus,which should be the capital alternative for SPPH.But in the case of poor effect,the further surgery or even hysterectomy must be resolutely adopted.

关 键 词：产后出血 栓塞 子宫动脉 髂内动脉 

分 类 号：R714.461[医药卫生—妇产科学]