CAJ | 학술논문

目的探讨选择性子宫动脉栓塞术治疗产后出血的疗效.方法45例产后出血患者,经临床止血处理难于控制出血,急诊行选择性子宫动脉插管后,注入明胶海绵颗粒栓塞子宫动脉.结果双侧子宫动脉插管成功率100%,手术时间30~60 min,术后所有患者出血停止,血压上升,心率下降,术后随访6~12个月,均无严重并发症出现,6例患者复孕.结论选择性动脉栓塞术创伤小,止血迅速有效,术后并发症少,对产后出血是一种安全有效的治疗措施.
목적탐토선택성자궁동맥전새술치료산후출혈적료효.방법45례산후출혈환자,경림상지혈처리난우공제출혈,급진행선택성자궁동맥삽관후,주입명효해면과립전새자궁동맥.결과쌍측자궁동맥삽관성공솔100%,수술시간30~60 min,술후소유환자출혈정지,혈압상승,심솔하강,술후수방6~12개월,균무엄중병발증출현,6례환자복잉.결론선택성동맥전새술창상소,지혈신속유효,술후병발증소,대산후출혈시일충안전유효적치료조시.
Objective To investigate the efficacy of selective uterine artery embolization for postpartum hemorrhage. Methods 45 cases of postpartum hemorrhage were difficult to control bleeding by conservative treatment. With the help of femoral artery catheter, the gelatin sponge particles were injected into the uterine artery to control its bleeding. Results All cases of postpartum hemorrhage were hemostasised successful, the surgery time was 30 to 90 min, the blood pressure (BP) increased and the heart rate (HR) decreased after selective embolization. All of the 45 cases had recovered well and 6 patients had been re-pregnant during a follow of 6 to 24 months. Conclusion Selective arterial embolization is minimally invasive, rapid and effective hemostasis, it is an effective and safe method for postpartum hemorrhage.