本文關(guān)鍵詞：經(jīng)導(dǎo)管動(dòng)脈栓塞術(shù)治療婦產(chǎn)科急癥出血的療效觀察，，由筆耕文化傳播整理發(fā)布。

經(jīng)導(dǎo)管動(dòng)脈栓塞術(shù)治療婦產(chǎn)科急癥出血的療效觀察

摘要：目的評(píng)價(jià)經(jīng)導(dǎo)管動(dòng)脈栓塞術(shù)治療婦產(chǎn)科急癥出血的臨床療效。方法選擇性雙側(cè)髂內(nèi)動(dòng)脈或超選擇性子宮動(dòng)脈插管,以真絲線段和明膠海綿顆粒栓塞雙側(cè)子宮動(dòng)脈,明膠海綿條栓塞雙側(cè)髂內(nèi)動(dòng)脈。結(jié)果對(duì)27例婦產(chǎn)科急癥出血患者進(jìn)行了動(dòng)脈栓塞,其中15例進(jìn)行雙側(cè)子宮動(dòng)脈栓塞,7例進(jìn)行雙側(cè)髂內(nèi)動(dòng)脈栓塞,5例進(jìn)行雙側(cè)子宮動(dòng)脈和髂內(nèi)動(dòng)脈同時(shí)栓塞。25例完全徹底止血,2例剖宮產(chǎn)栓塞后再出血,未出現(xiàn)嚴(yán)重并發(fā)癥。結(jié)論經(jīng)導(dǎo)管動(dòng)脈栓塞術(shù)是治療婦產(chǎn)科急癥出血的可靠方法。同時(shí)栓塞雙側(cè)子宮動(dòng)脈和雙側(cè)髂內(nèi)動(dòng)脈能提高止血效果。
Objective To evaluate the efficacy of transcatheter arterial embolization for patients suffering from obstetric and gynecologic hemorrhage. Methods Transcatheter arterial embolization was performed for internal iliac artery and/or uterine artery with gelfoam or silk tufts. Results A total of 27 patients suffering from emergent obstetric and gynecologic hemorrhage were treated with bilateral uterine artery embolization (15 cases), bilateral internal iliac artery embolization (7 cases), or bilateral uterine and internal iliac artery embolization (5 cases). Complete hemostasia was observed in 25 patients, while bleeding re-occurred 2 hours and 15 days later in 2 cases of cesarean, respectively. No serious complications occurred.Conclusion Transcatheter arterial embolization is a reliable treatment of emergent obstetric and gynecologic hemorrhage. Embolization of bilateral internal iliac arteries and uterine arteries is safe and effective.

  本文關(guān)鍵詞：經(jīng)導(dǎo)管動(dòng)脈栓塞術(shù)治療婦產(chǎn)科急癥出血的療效觀察，由筆耕文化傳播整理發(fā)布。