当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
24期
93-93,94
,共2页
子宫动脉栓塞术%晚期产后出血%数字减影血管造影
子宮動脈栓塞術%晚期產後齣血%數字減影血管造影
자궁동맥전새술%만기산후출혈%수자감영혈관조영
Uterine arterial embolization%Late postpartum hemorrhage%Ddigital subtraction angiography
目的：观察子宫动脉栓塞术治疗晚期产后出血4例的临床效果。方法选取4例发生晚期产后出血患者在各种保守治疗无效后，急诊在数字减影血管造影(DSA)下，行超选择双侧子宫动脉栓塞术。结果4例患者超选择双侧子宫动脉栓塞均一次性获得成功，手术时间35～65min，平均（43.2±5.3）min，术后阴道流血明显减少，色转暗红。无1例切除子宫。结论动脉栓塞术止血效果好、起效快，保留了患者的子宫，栓塞后患者能恢复月经，生育功能不受影响，是治疗晚期产后出血的安全有效疗法，在有条件的医院值得推广应用。
目的：觀察子宮動脈栓塞術治療晚期產後齣血4例的臨床效果。方法選取4例髮生晚期產後齣血患者在各種保守治療無效後，急診在數字減影血管造影(DSA)下，行超選擇雙側子宮動脈栓塞術。結果4例患者超選擇雙側子宮動脈栓塞均一次性穫得成功，手術時間35～65min，平均（43.2±5.3）min，術後陰道流血明顯減少，色轉暗紅。無1例切除子宮。結論動脈栓塞術止血效果好、起效快，保留瞭患者的子宮，栓塞後患者能恢複月經，生育功能不受影響，是治療晚期產後齣血的安全有效療法，在有條件的醫院值得推廣應用。
목적：관찰자궁동맥전새술치료만기산후출혈4례적림상효과。방법선취4례발생만기산후출혈환자재각충보수치료무효후，급진재수자감영혈관조영(DSA)하，행초선택쌍측자궁동맥전새술。결과4례환자초선택쌍측자궁동맥전새균일차성획득성공，수술시간35～65min，평균（43.2±5.3）min，술후음도류혈명현감소，색전암홍。무1례절제자궁。결론동맥전새술지혈효과호、기효쾌，보류료환자적자궁，전새후환자능회복월경，생육공능불수영향，시치료만기산후출혈적안전유효요법，재유조건적의원치득추엄응용。
ObjectiveTo observe the clinical effect of uterine artery embolization in the treatment of 4 cases of late postpartum hemorrhage. Methods Choose 4 cases suffered late postpartum hemorrhage patients after conservative treatment is invalid,emergency in the digital reduction angiography (DSA) and super selection of bilateral uterine artery embolization.Results 4 cases of patients with bilateral uterine artery embolization were successful,the operation time was 35-65min,the average (43.2±5.3) min,vaginal bleeding decreased obviously after operation,color to dark red. No 1 cases of hysterectomy.Conclusion Arterial embolization effect,rapid onset,retained the uterine of patients,after embolism patients can menstruation and fertility is not affected,the treatment of late postpartum hemorrhage is a safe and effective therapy,in the condition of the hospital is worth popularization and application.
