CAJ | 학술논문

回顾分析2009年3月到2011年9月经导管动脉栓塞术治疗的24例产后大出血患者的临床资料.20例行子宫动脉栓塞术,4例行髂内动脉栓塞术,栓塞结束2～9 min阴道出血明显减少或停止.术后2例因间断性中等量阴道出血行第2次栓塞术.并发症主要为低热、下腹部疼痛不适.随访19例,平均随访(17.3±11)个月,均未再出血,术后4～6个月恢复正常月经周期,3例再次妊娠分娩.导管动脉栓塞术治疗产后大出血减少了诊断和治疗的盲目性,简便、安全、止血迅速,并且保留生育功能.
회고분석2009년3월도2011년9월경도관동맥전새술치료적24례산후대출혈환자적림상자료.20례행자궁동맥전새술,4례행가내동맥전새술,전새결속2～9 min음도출혈명현감소혹정지.술후2례인간단성중등량음도출혈행제2차전새술.병발증주요위저열、하복부동통불괄.수방19례,평균수방(17.3±11)개월,균미재출혈,술후4～6개월회복정상월경주기,3례재차임신분면.도관동맥전새술치료산후대출혈감소료진단화치료적맹목성,간편、안전、지혈신속,병차보류생육공능.
We reviewed the clinical data of 24 patients with postpartum hemorrhage undergoing transcatheter arterial embolism from March 2009 to September 2011.Twenty out of 24 patients underwent uterine artery embolism,while other 4 underwent internal iliac artery embolism.The hemorrhage reduced markedly 2 to 9 min after arterial embolism in all patients,except 2 who underwent secondary embolism due to the intermittent postoperative hemorrhage. The postoperative complications included low fever and discomfort in lower abdomen.Nineteen patients were followed up for a mean period of ( 17.3 ± 1.1 ) months,no recurrent hemorrhage was observed after discharge.The normal menstrual cycle recovered 4 to 6 months after operation.Three patients underwent pregnancy successfully after discharge.The results indicate that transcatheter arterial embolism is safe and effective in the treatment of postpartum hemorrhage and it should be recommended as a feasible choice in clinical practice.