动脉栓塞治疗难治性产后出血24例临床分析  

Clinical analysis of massive postpartum hemorrhage treated by uterine artery embolization in 24 cases

作　　者：肖玲[1] 肖英[1] 王心[1] 尚丽新[1] 

机构地区：[1]北京军区总医院,北京100700

出　　处：《中国妇幼健康研究》2013年第5期775-776,789,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨急诊行动脉栓塞术治疗产后大出血的临床效果。方法选取2008年1月至2012年12月北京军区总医院24例难治性产后出血患者,采用Seldinger's技术,经皮股动脉穿刺在数字减影血管造影(DSA)下显示出血部位,用明胶海绵栓塞出血的子宫动脉,并对结果进行分析。结果在24例中有22例(91.7%)患者出血部位栓塞成功,达到止血目的;2例(8.3%)失败经腹行全子宫切除术;2例(8.3%)胎盘植入患者经栓塞后,并给予甲氨蝶呤(MTX)治疗,术后未发现严重的并发症。结论子宫动脉栓塞治疗安全有效,具有手术时间短及保留生育功能等优点,其为目前治疗产后出血的重要方法之一。Objective To investigate the clinic effect of uterine artery embolization （ UAE ） on massive postpartum hemorrhage on emergency.Methods Totally 24 patients with massive postpartum hemorrhage were selected , who were hospitalized in Beijing Command General Hospital during the period of January 2008 to December 2012.Embolization treatment with gelfoam （GF） via uterine artery under digital subtraction angiography （ DSA） showed the original site of the hemorrhage with Seldingers technique .Results Twenty-two of 24 patients（91.7%） were successfully treated with embolization , and the other 2 patients （8.3%） had hysterectomy because of failure of embolization.Two patients with placenta increta （8.3%） had received MTX after AE .There was no any severe complication .Conclusion UAE is effective and safe, and it has the advantages of short operation and fertility-preserving.It is one of the important methods to treat massive postpartum hemorrhage .

关 键 词：产后出血 动脉栓塞 子宫动脉 临床分析 

分 类 号：R711[医药卫生—妇产科学]