血管介入治疗在妇产科急症中的应用  

Application of vascular embolization therapy in gynecology and obstetrics emergency

作　　者：单秀玲[1] 

机构地区：[1]江苏省沭阳县中医院妇产科,223600

出　　处：《中国现代药物应用》2014年第12期8-10,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨血管介入技术治疗妇产科急症的可行性及疗效。方法采用血管介入技术对31例妇产科急症患者(产后或引产后大出血、异位妊娠、瘢痕妊娠)进行治疗,分析其疾病转归、并发症、月经恢复情况。结果 8例产后或引产后出血患者经治疗后出血均立即减少;20例异位妊娠患者,18例经治疗后血β-HCG明显下降;3例瘢痕妊娠患者经治疗后清宫术成功。所有患者均无明显术后并发症,术后平均月经恢复时间为62 d。结论血管栓塞介入治疗技术用于产后出血、异位或瘢痕妊娠的保守治疗是一种安全、创伤小、疗效好的可靠方法,值得推广。Objective To study the feasibility and efficacy of vascular embolization therapy for gynecology and obstetrics emergency. Methods A total of 31 patients suffering from gynecology and obstetrics emergency （postpartum hemorrhage or abortion bleeding, ectopic pregnancy and cesarean scar pregnancy） were treated with vascular interventional embolization therapy, and their prognosis, complications and return to menses were observed. Results A immediate decrease of bleeding was observed in 8 patients with postpartum hemorrhage or abortion bleeding; 18 cases of totally 20 ectopic pregnancy patients were observed an obvious decrease of bloodβ-HCG; 3 patients with cesarean scar pregnancy received curettage successfully after the treatment of vascular embolization. No serious complications occurred. The postoperative returning to menses was 62 days in average. Conclusion Vascular embolization is a safe and efficient method for the treatment of postpartum hemorrhage, ectopic pregnancy and cesarean scar pregnancy.

关 键 词：血管介入 产后出血 异位妊娠 瘢痕妊娠 疗效 

分 类 号：R71[医药卫生—妇产科学]