摘要
目的评价急症经导管动脉栓塞术(TAE)治疗难治性产后出血的疗效及安全性。方法临床25例难治性产后出血患者,采用右股动脉Seldinger穿刺技术,选择性插管至双侧髂内动脉或子宫动脉,行DSA明确出血部位后以明胶海绵颗粒栓塞。结果插管成功率100%,手术时间25～60min,平均(42.5±4.6)min,术后止血时间3～15min。术后止血总有效率100%。比较术前术后患者血红蛋白及心率,差异具有显著性(t=29.49,P<0.01;t=16.51,P<0.01)。所有患者宫体按期复旧,转经后月经正常。结论TAE创伤小,疗效快速肯定,术后短期及长期随访无严重并发症,对危及生命的产后出血是一种有效治疗措施。
Objective To assess the efficacy and safety of emergency transcatheter arterial embolization in the management of intractable postpartum hemorrhage. Methods Twenty-five patients with intractable postpartum hemorrhage were undertaken superselective catheterization into the bilateral internal iliac arteries or uterial arteries to find the causes and sites of bleeding through DSA and then followed by arterial embolization with gelfoam particles. Result All of the 25 patients with obstetrical bleeding were successfully controlled by TAE, the procedure lasted for 25 - 60 min, （mean 42.5 ± 4.6 min）; with both catheterization and bleeding halt successful rates of 100%. Comparison of hemoglobin and heartbeat before and after the procedure showed significance（t = 29.49, P 〈 0.01; t = 16.51, P 〈 0.01）. The uterus showed reintegration on time and menstruation resumed in all patients. Conclusions Emergency arterial embolization is a safe and effective means for control of intactable postpartum hemorrhage, providing less trauma and no severe complications, especially as an unique management for fetal postpartum hemorrhage.
出处
《介入放射学杂志》
CSCD
2008年第1期58-60,共3页
Journal of Interventional Radiology
关键词
产后出血
动脉栓塞
子宫动脉
Postpartum hemorrhage
Arterial embolization
Uterial artery
