本文關(guān)鍵詞：經(jīng)導管動脈栓塞術(shù)治療婦產(chǎn)科急癥出血的療效觀察，，由筆耕文化傳播整理發(fā)布。

經(jīng)導管動脈栓塞術(shù)治療婦產(chǎn)科急癥出血的療效觀察

摘要：目的評價經(jīng)導管動脈栓塞術(shù)治療婦產(chǎn)科急癥出血的臨床療效。方法選擇性雙側(cè)髂內(nèi)動脈或超選擇性子宮動脈插管,以真絲線段和明膠海綿顆粒栓塞雙側(cè)子宮動脈,明膠海綿條栓塞雙側(cè)髂內(nèi)動脈。結(jié)果對27例婦產(chǎn)科急癥出血患者進行了動脈栓塞,其中15例進行雙側(cè)子宮動脈栓塞,7例進行雙側(cè)髂內(nèi)動脈栓塞,5例進行雙側(cè)子宮動脈和髂內(nèi)動脈同時栓塞。25例完全徹底止血,2例剖宮產(chǎn)栓塞后再出血,未出現(xiàn)嚴重并發(fā)癥。結(jié)論經(jīng)導管動脈栓塞術(shù)是治療婦產(chǎn)科急癥出血的可靠方法。同時栓塞雙側(cè)子宮動脈和雙側(cè)髂內(nèi)動脈能提高止血效果。
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.

  本文關(guān)鍵詞：經(jīng)導管動脈栓塞術(shù)治療婦產(chǎn)科急癥出血的療效觀察，由筆耕文化傳播整理發(fā)布。