经导管动脉栓塞术治疗妇产科急症出血的疗效观察

  本文关键词：经导管动脉栓塞术治疗妇产科急症出血的疗效观察，，由笔耕文化传播整理发布。

经导管动脉栓塞术治疗妇产科急症出血的疗效观察

摘要：目的评价经导管动脉栓塞术治疗妇产科急症出血的临床疗效。方法选择性双侧髂内动脉或超选择性子宫动脉插管,以真丝线段和明胶海绵颗粒栓塞双侧子宫动脉,明胶海绵条栓塞双侧髂内动脉。结果对27例妇产科急症出血患者进行了动脉栓塞,其中15例进行双侧子宫动脉栓塞,7例进行双侧髂内动脉栓塞,5例进行双侧子宫动脉和髂内动脉同时栓塞。25例完全彻底止血,2例剖宫产栓塞后再出血,未出现严重并发症。结论经导管动脉栓塞术是治疗妇产科急症出血的可靠方法。同时栓塞双侧子宫动脉和双侧髂内动脉能提高止血效果。
Objective To evaluate the efficacy of transcatheter arterial embolization for patients suffering from obstetric and gynecologic hemorrhage. Methods Transcatheter arterial embolization was performed for internal iliac artery and/or uterine artery with gelfoam or silk tufts. Results A total of 27 patients suffering from emergent obstetric and gynecologic hemorrhage were treated with bilateral uterine artery embolization (15 cases), bilateral internal iliac artery embolization (7 cases), or bilateral uterine and internal iliac artery embolization (5 cases). Complete hemostasia was observed in 25 patients, while bleeding re-occurred 2 hours and 15 days later in 2 cases of cesarean, respectively. No serious complications occurred.Conclusion Transcatheter arterial embolization is a reliable treatment of emergent obstetric and gynecologic hemorrhage. Embolization of bilateral internal iliac arteries and uterine arteries is safe and effective.

  本文关键词：经导管动脉栓塞术治疗妇产科急症出血的疗效观察，由笔耕文化传播整理发布。