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双侧子宫动脉栓塞治疗难治性产后出血
作者:林奇志 蒋小青 
单位:东南大学附属中大医院妇产科,江苏南京,210009
关键词:子宫/血液供给 栓塞 治疗性/方法 产后出血/治疗 
分类号:R714.461, R459.9
出版年·卷·期(页码):2003·22·第一期(51-52)
摘要:

目的:探讨双侧子宫动脉栓塞治疗难治性产后出血的临床疗效.方法:选择3例产后出血药物治疗无效的病例,用Seldinger技术完成双侧子宫动脉插管、造影,确认后注入明胶海绵颗粒栓塞血管,并再次造影证实栓塞成功.术后测量出血量判断疗效.结果:双侧子宫动脉栓塞术可及时准确地了解出血情况、暂时性阻断子宫血供,使子宫出血停止.结论:难治性产后出血在作积极病因治疗的同时行双侧子宫动脉栓塞术治疗可有效止血,提高救治成功率.

Objective  To study the clinical efficacy of bilateral uterine artery embolization management for intractable postpartum hemorrhage.Method  3 patients of postpartum hemorrhage,for whom medication was invalid,were chosen to be catheterized of bilateral uterine arteries using Seldinger technique,and gelfoam was injected into arteries for embolization after angiography proved,then followed by another angiography to confirm the success of embolization.The clinical efficacy was estimated by hemorrhagic measurement.Results  Bilateral uterine artery embolization can judge the hemorrhagic condition exactly and timely,and obstruct uterus blood supply,thus control the bleeding.Conclusions  Intractable postpartum hemorrhage can be treated by  bilateral uterine artery embolization when positive pathogenic therapy is carried on,thus to effectively control bleeding, and improve the cure.

参考文献:

[1] 张首杰, 安启哲. 顽固性产后大出血的保守性手术治疗, 1999(5)
[2] 陈春林. 介入治疗在妇产科中的应用前景. 中国实用妇科与产科杂志2000(12). doi:10.3969/j.issn.1005-2216.2000.12.027
[3] 李麟荪. 介入放射学, 1990 

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