子宫动脉栓塞术的围手术期处理  

Perioperative management of trans-catheter uterine artery embolization

作　　者：姜曼 宫树芝 张国栋[2] 唐军[2] 孙增涛[2] 尚建强[2] 张垒[2] JIANG Man;GONG Shuzhi;ZHANG Guodong;TANG Jun;SUN Zengtao;SHANG Jianqiang;ZHANG Lei(Department of Infection Contol,Second Affiliated Hospital of Shandong University,Jinan 250033,P.R.China;Shandong Medical Imaging Research Institute Affiliated to Shandong University,Jinan 250021,P.R.China)

机构地区：[1]山东大学第二医院感染控制科,山东济南250033 [2]山东大学附属山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2019年第12期2087-2089,共3页Journal of Medical Imaging

摘　　要：目的探索经导管行子宫栓塞术的围手术期处理措施。方法收集2011年11月~2017年12月期间,61例患者在我科接受了经导管双侧子宫动脉栓塞术,61例中症状性子宫肌瘤48例,症状性子宫腺肌症13例。患者在接受栓塞治疗的围术期内给予抗感染、预防性镇痛、抗凝、水化、留置导尿处理。结果61例患者在围手术期内无中、重度的与栓塞相关的疼痛发生、无严重并发症发生。结论患者在子宫动脉栓塞术的围手术期内接受抗感染、预防性镇痛、抗凝、水化处理,有助于子宫动脉栓塞术的安全性和减少术后并发症。Objective The aim of this study was to explore the perioperative management of trans-catheter arterial embolization for the symptomatic fibroids and adenomyosis.Methods Between November 2011 and December 2017,61 patients with symptomatic fibroids(in 48 cases)or adenomyosis(in 13 cases)were enrolled and underwent bilateral uterine artery embolization(UAE).The perioperative managements included anti-infection,preventive analgesia,anticoagulation,hydration,and indwelling catheterization.Results Moderate and severe UAE-related pains were not observed in all the 61 patients.There were no major complications during the perioperative period.Conclusion Perioperative managements of UAE including anti-infection,preventive analgesia,anticoagulation,and hydration were helpful to the safety of UAE and reduced the embolization-related complications.

关 键 词：子宫动脉 栓塞 围手术期处理 介入性 放射学 

分 类 号：R711.7[医药卫生—妇产科学] R815[医药卫生—临床医学]