针对产后大出血介入治疗时卵巢供血支是否需要栓塞的探究  

Discussion the need for the blood supply of the ovary in the interventional treatment of postpartum hemorrhage

作　　者：赵海[1] 姜峰[1] 张继军[1] 李晶[1] 张建[1] 

机构地区：[1]新疆阿克苏地区第一人民医院,新疆阿克苏843000

出　　处：《新疆医学》2017年第2期184-186,共3页Xinjiang Medical Journal

摘　　要：目的探讨产后出血的患者介入栓塞治疗时发现卵巢支供血时是否需要进行栓塞。方法对2015年1月-2016年3月在我院分娩出现大出血并急诊行子宫动脉栓塞治疗时发现卵巢动脉支供血的28名患者进行分组,将易超选择卵巢动脉支或卵巢动脉支有明显造影剂外溢现象的行卵巢动脉栓塞及双侧子宫(或髂内)动脉栓塞的患者分为一组(n=17),不易超选择卵巢动脉支且卵巢支无明显造影剂外溢现象的仅行双侧子宫(或髂内)动脉栓塞的患者分为一组(n=11)。观察术后患者止血情况,并随访到术后三个月,观察有无并发症的发生。结果行双侧子宫(或髂内)动脉栓塞及卵巢动脉栓塞的一组患者介入栓塞术后无一人死亡,止血率达100%,单纯行双侧子宫(或髂内)动脉栓塞的一组患者介入术后无一人死亡,止血率达100)%。讨论对于产后出血的患者介入栓塞治疗时发现卵巢动脉支供血时,如没有明显造影剂外溢现象,单纯双侧子宫(或髂内)动脉栓塞术可起到有效的止血作用,但止血时间相对较长。Objective To investigate the need of embolization in the treatment of postpartum hemorrhage by interventional embolization.Methods Childbirth appeared on the bleeding and underwent emergency uterine artery embolization for the treatment of found ovarian artery blood supply of 28 patients were divided into two groups from January 2015 to March 2016 in our hospital,moving the super easy ovarian artery branch or ovarian artery branch had obvious contrast extravasation phenomenon of ovarian vein embolization of bilateral uterine（or internal iliac artery embolization） were divided into a group（n = 17）,not super easy selection of ovarian artery branch and ovarian branch without obvious contrast extravasation phenomenon only underwent bilateral uterine（or internal iliac artery embolization） were divided into a group（n = 11）.The patients were observed after operation and the patients were followed up for three months to observe the occurrence of complications.Results No one was died after interventional embolization of bilateral uterine（or internal） artery embolization and ovarian artery embolization in a group of patients,hemostasia rate was 100%,a simple bilateral uterine（or internal iliac,artery embolization in a group of patients died after interventional therapy,bleeding rate was 100%.Conclusion Finding out ovarian artery blood supply for postpartum hemorrhage with interventional embolization,if there is no obvious contrast extravasation phenomenon,simple bilateral uterine（or internal） arterial embolization has hemostasis effect,but the bleeding time is relatively long.

关 键 词：产后大出血 卵巢动脉栓塞 子宫动脉栓塞 止血效果 

分 类 号：R714.46[医药卫生—妇产科学]