重度产后出血的介入治疗  

Interventional treatment in severe postpartum hemorrhage

作　　者：苏国强[1] 马建华[1] 卢立军[1] 郑彦钦 

机构地区：[1]中国人民解放军第401医院放射科,山东青岛266071

出　　处：《青岛医药卫生》2014年第2期122-123,共2页Qingdao Medical Journal

摘　　要：目的 评价重度产后出血经导管动脉栓塞（TAE）治疗的可行性及安全性.方法 29例重度产后出血患者,采用Seldinger穿刺技术,选择双侧子宫动脉插管,DSA明确出血位置后以明胶海绵颗粒栓塞.结果 插管成功率100％,术后止血有效率100％,手术时间30～50min.结论 TAE创伤小、疗效好、恢复快、无严重并发症,应作为严重产后出血首选的治疗方法.Objective To assess the efficacy and safety of transcatheter arterial embohzatlon m me management of severe postpartum hemorrhage. Methods 29 patients with severe postpartum hemorrhage by Seldinger＇s technique were undertaken superselective catheterization into the bi- lateral uterial arteries to find the sites of bleeding though DSA and then followed by arterial em- bolization with gelfoam particles. Results The procedure lasted for 30-50rain with both cather- ization and bleeding halt successful rates of 100%. Conclusion Uterine artery embolization is mi- nor injury, significant efficacy, quick recovery and no severe complications. This technique should be regarded as the first choice of the treatment of severe postpartum hemorrhage.

关 键 词：产后出血 动脉栓塞 子宫动脉 

分 类 号：R714.461[医药卫生—妇产科学]