产科术后宫腔出血的介入治疗体会  

Experience of interventional treatment for intrauterine hemorrhage after obstetric surgery

作　　者：王小燕 夏正超 

机构地区：[1]湖北省老河口市第一人民医院,441800

出　　处：《中国社区医师》2017年第31期61-61,63,共2页Chinese Community Doctors

摘　　要：目的:探讨产科术后宫腔出血的介入治疗效果。方法:收治产科术后宫腔出血患者50例,采用Seldinger技术,术后常规抗生素预防感染。结果:50例患者均可见动脉造影剂外溢,说明有明显的出血灶,影像呈团状、条状、点状等。经过栓塞治疗,均1次成功栓塞,栓塞成功率100.0%;栓塞后全部阴道流血均停止。患者经栓塞后2周再次出血1例,复发率2.0%;再次进行栓塞治疗后治愈,未再复发。结论:子宫动脉栓塞与双髂内动脉栓塞术是治疗产科术后宫腔出血的重要介入治疗方法,疗效显著。Objective:To explore the effect of interventional treatment of intrauterine hemorrhage after operation.Methods:50 patients with intrauterine hemorrhage were treated with Seldinger technique.Routine antibiotics were used to prevent infection.Results:The extravasation of arteriography agent was observed in 50 cases.There were obvious bleeding foci,the images are clusters,bars,spots and so on.After embolization treatment,successful embolization was successfully performed,and the successful rate of embolization was 100%.All the vaginal bleeding stopped after embolization,and the bleeding occurred again 2 weeks after embolization in 1 patient,and the recurrence rate was 2%.After the embolization treatment again,there was no recurrence.Conclusion:Uterine artery embolization and double internal iliac artery embolization is an important interventional treatment for intrauterine hemorrhage in obstetrics.

关 键 词：产科 宫腔出血 动脉栓塞 介入治疗 

分 类 号：R719[医药卫生—妇产科学]