摘要
目的观察选择性子宫动脉栓塞治疗产后出血的疗效。方法回顾性分析21例接受选择性子宫动脉栓塞的产后出血患者,均伴有失血性休克,应用明胶海绵碎屑进行栓塞。结果栓塞术后,所有患者出血停止,血压上升,心率减慢,血红蛋白上升,与术前比较差异有统计学意义(P<0.05)。术后随访1年,无复发出血及严重并发症发生。结论选择性子宫动脉栓塞是治疗产后出血微创、有效的方法。
Objective To observe the effect of selective uterine artery embolization for the treatment of postpartum hemorrhage.Methods Twenty-one patients with postpartum hemorrhage,who underwent selective uterine artery embolization,were retrospectively analyzed.All patients had hemorrhagic shock.Resorbable gelatine sponge pledgets were used for embolus.Results In all 21 patients,postpartum hemorrhage were hemostasised effectively.The blood pressure（BP）and hemoglobin（HG）increased,and the heart rate（HR）decreased after selective embolization.Statistical analysis showed significant changes of BP,HG and HR after embolization（P〈0.05）.No recurrence hemorrhage and severe complications were observed in 1 year follow-up.Conclusion Selective renal arterial embolization is an effective,minimally invasive method for hemostasis of postpartum hemorrhage.
出处
《中国介入影像与治疗学》
CSCD
2011年第1期14-17,共4页
Chinese Journal of Interventional Imaging and Therapy
关键词
产后出血
子宫动脉
栓塞
治疗性
Postpartum hemorrhage
Uterine artery
Embolization
therapeutic
