CAJ | 학술논문

目的：探讨血管介入技术治疗妇产科急症的可行性及疗效。方法采用血管介入技术对31例妇产科急症患者（产后或引产后大出血、异位妊娠、瘢痕妊娠）进行治疗,分析其疾病转归、并发症、月经恢复情况。结果8例产后或引产后出血患者经治疗后出血均立即减少；20例异位妊娠患者,18例经治疗后血β-HCG明显下降；3例瘢痕妊娠患者经治疗后清宫术成功。所有患者均无明显术后并发症,术后平均月经恢复时间为62 d。结论血管栓塞介入治疗技术用于产后出血、异位或瘢痕妊娠的保守治疗是一种安全、创伤小、疗效好的可靠方法,值得推广。
목적：탐토혈관개입기술치료부산과급증적가행성급료효。방법채용혈관개입기술대31례부산과급증환자（산후혹인산후대출혈、이위임신、반흔임신）진행치료,분석기질병전귀、병발증、월경회복정황。결과8례산후혹인산후출혈환자경치료후출혈균립즉감소；20례이위임신환자,18례경치료후혈β-HCG명현하강；3례반흔임신환자경치료후청궁술성공。소유환자균무명현술후병발증,술후평균월경회복시간위62 d。결론혈관전새개입치료기술용우산후출혈、이위혹반흔임신적보수치료시일충안전、창상소、료효호적가고방법,치득추엄。
Objective To study the feasibility and efficacy of vascular embolization therapy for gynecology and obstetrics emergency. Methods A total of 31 patients suffering from gynecology and obstetrics emergency (postpartum hemorrhage or abortion bleeding, ectopic pregnancy and cesarean scar pregnancy) were treated with vascular interventional embolization therapy, and their prognosis, complications and return to menses were observed. Results A immediate decrease of bleeding was observed in 8 patients with postpartum hemorrhage or abortion bleeding; 18 cases of totally 20 ectopic pregnancy patients were observed an obvious decrease of bloodβ-HCG; 3 patients with cesarean scar pregnancy received curettage successfully after the treatment of vascular embolization. No serious complications occurred. The postoperative returning to menses was 62 days in average. Conclusion Vascular embolization is a safe and efficient method for the treatment of postpartum hemorrhage, ectopic pregnancy and cesarean scar pregnancy.