子宫动脉栓塞在产科疾病中的应用价值  

Clinical Value of Uterine Artery Embolization in Obstetrics Diseases

作　　者：黄加胜[1] 束晓明[2] 王海蓉[2] 王煊[1] 陈卫[1] 

机构地区：[1]南京医科大学附属淮安一院介入科,223300 [2]南京医科大学附属淮安一院产科,223300

出　　处：《临床放射学杂志》2013年第11期1634-1636,共3页Journal of Clinical Radiology

摘　　要：目的探讨子宫动脉栓塞在预防和治疗子宫出血中的应用价值。方法对12例剖宫产后、8例人工流产术后出血的一组患者行双侧子宫动脉栓塞术（出血组），其中有3例栓塞髂内动脉前干；对5例瘢痕妊娠、3例宫颈妊娠及7例前置胎盘的一组患者引产术前行预防性双侧子宫动脉栓塞术（预防组）。结果两组35例栓塞手术全部成功，子宫出血患者除1例无效行子宫切除外，其余即刻止血；预防出血栓塞的患者，引产时术中出血量少于30ml，无明显出血。两组患者均无严重并发症发生。随访2～6个月无再出血，40—120天后月经恢复正常。结论子宫动脉栓塞术止血迅速、疗效确切，可以保留患者的子宫和生育功能，尤其是预防性栓塞能达到预期目的。Objective To investigate clinical value of uterine artery embolization （UAE） in treating or preventing ute rus massive hemorrhage. Methods Bilateral uterine artery embolization were performed on 12 patients with hemorrhage after cesarean section, 8 cases with hemorrhage after induced abortion, both anterior trunk of internal iliac artery were em bolized in 3 cases; 5 patients of cesarean scar pregnancy and 7 patients of placental presentation were treated to prevent hemorrhage before induction delivery. Results 35 cases were successfully embolized, uterina hemorrhage was stopped completely, one case was invalid and received hysterectomy. No one case had severe complications in two groups, the fol low up study showed that no hemorrhage were found in 2 6months, and had normal menstrual after 40 120 days. Con clusion Uterine artery emholization is a safe and effective method for treating or preventing uterus massive hemorrhage, it remains uterus and breeding function.

关 键 词：子宫出血 子宫动脉栓塞 剖宫产瘢痕妊娠 宫颈妊娠 前置胎盘 

分 类 号：R714[医药卫生—妇产科学]