动脉栓塞治疗难治性产后出血疗效观察  

Treatment of intractable postpartum hemorrhage by arterial embolization

作　　者：肖玲[1] 肖英[1] 李冰[1] 王心[1] 尚丽新[1] 

机构地区：[1]北京军区总医院妇产科,100700

出　　处：《武警医学》2013年第8期666-668,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的观察动脉栓塞治疗难治性产后出血的效果。方法收集我院2008-01至2012-12因难治性产后出血行动脉栓塞治疗的24例患者的临床资料,电话随访患者术后月经恢复、生育及其他有关信息。结果 22例(91.7%)患者经动脉栓塞后出血得以成功控制,2例(8.3%)患者因栓塞不成功而经腹行全子宫切除术;1例(4.2%)术后42 d复查发现宫腔积血行宫腔镜检查,未发现宫腔粘连;2例(8.3%)患者失访,19例(96.4%)患者月经均恢复。仅随访到1例患者栓塞2年后再次妊娠。所有随访对象未发现其他并发症。结论动脉栓塞是一种安全有效、无创的控制产后出血的方法,且对患者远期月经恢复无明显不良影响,而对生育是否有影响需进一步随访,未随访到其他的不良影响。Objective To observe the effect of arterial embolization on patients with intractable postpartum hemorrhage. Methods Twenty -four patients who underwent emergency arterial embolization for intractable postpartum hemorrhage between Janu- ary 2008 and November 2012 were included in the study. Patients were contacted to obtain information about menstruation, fertility and other complications after arterial embolization. Results Among the 24 women, 22 （91.7%）had successful control of PPH, failed to control PPH in 2 patients（ 8.3% ）and had a hysterectomy, 1 patient underwent hysterscopy uterus cavity hematocele, there was no ute- rus cavity adhesion, 2 women were lost to follow up, 19 women （96.4%）reported regular menses. Only one woman informed pregnancy again two years later. No complications have taken place in all subjects. Conclusions Arterial embolization is effective, safe and not traumatic for patients, and the study suggests that menses are not adversely affected by arterial embolization, but it remains to study its effect on fertility. No side effects are found.

关 键 词：难治性产后出血 动脉栓塞 临床观察 

分 类 号：R714[医药卫生—妇产科学]