经皮超选择子宫动脉栓塞术治疗产后大出血的效果分析  

Effect of transcutaneous transcatheter uterine arterial embolization in the treatment of postpartum hemorrhage

作　　者：黄旭东[1] 邱家云 张均维[1] 蔡弟 张凤[1] 王桂浩 孔德玲[1] Huang Xudong;Qiu Jiayun;Zhang Junwei;Cai Di;Zhang Feng;Wang Guihao;Kong Deling(Department of Intervention, the General Hospital of Huainan Oriental Hospital Group ,Huainan ,Anhui 232000, Chin)

机构地区：[1]淮南东方医院集团总院介入科,安徽省淮南232000

出　　处：《中国基层医药》2018年第12期1581-1584,I0002,共5页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨经皮超选择双侧子宫动脉栓塞术治疗产后大出血的疗效及并发症。 方法对2011年1月至2017年1月淮南东方医院集团总院收治的76例经保守治疗无效的产后大出血患者通过数字减影血管造影技术（DSA）明确出血部位后，行双侧子宫动脉栓塞治疗，观察栓塞前后止血情况、生命体征以及并发症发生情况。结果76例患者栓塞后出血立即停止，3例出血量明显减少，近1周对症治疗后出血完全停止。栓塞后患者血压平稳回升，心率减慢[（89.0±13.0）次/min]，血红蛋白水平升高[（90.32±14.25）g/L]，与栓塞前比较差异均有统计学意义（t＝4.110、3.736、2.126、3.557，均P〈0.05）。栓塞后7例出现轻度发热，4例出现下腹坠痛，2例出现臀部疼痛，对症治疗后得到有效缓解。结论经皮超选择双子宫动脉栓塞治疗产后大出血，具有止血快、创伤小、并发症少、可保留子宫及生育力等优点，有较高的临床应用价值。ObjectiveTo explore the curative effect and complication of transcutaneous transcatheter uterine arterial embolization in the treatment of postpartum hemorrhage.Methods76 cases with postpartum hemorrhage of conservative treatment invalid in the General Hospital of Huainan Oriental Hospital Group from January 2011 to January 2017, received digital subtraction angiography （DSA） to make clear the site of hemorrhage, then bilateral uterine artery embolization was given.ResultsSeventy-six patients have stopped bleeding immediately after embolization, 3 cases were significantly reduced.Bleeding stopped completely after nearly one week of treatment.Mild fever after embolization appearred unable to pain in the lower abdomen, 1 case had hip pain.ConclusionTranscutaneous transcatheter uterine artery embolization in the treatment of postpartum hemorrhage has advantages of quick hemostasis, less trauma, less complications and preserving the uterus fertility, which has high clinical value.

关 键 词：产后出血 子宫动脉栓塞术 血管造影术 数字减影 

分 类 号：R714.461[医药卫生—妇产科学]