经皮超选择子宫动脉栓塞术治疗产后大出血的效果分析
Effect of transcutaneous transcatheter uterine arterial embolization in the treatment of postpartum hemorrhage
目的 探讨经皮超选择双侧子宫动脉栓塞术治疗产后大出血的疗效及并发症.方法 对2011年1月至2017年1月淮南东方医院集团总院收治的76例经保守治疗无效的产后大出血患者通过数字减影血管造影技术(DSA)明确出血部位后,行双侧子宫动脉栓塞治疗,观察栓塞前后止血情况、生命体征以及并发症发生情况.结果 76例患者栓塞后出血立即停止,3例出血量明显减少,近1周对症治疗后出血完全停止.栓塞后患者血压平稳回升,心率减慢[(89.0±13.0)次/min],血红蛋白水平升高[(90.32±14.25)g/L],与栓塞前比较差异均有统计学意义(t=4.110、3.736、2.126、3.557,均P<0.05).栓塞后7例出现轻度发热,4例出现下腹坠痛,2例出现臀部疼痛,对症治疗后得到有效缓解.结论 经皮超选择双子宫动脉栓塞治疗产后大出血,具有止血快、创伤小、并发症少、可保留子宫及生育力等优点,有较高的临床应用价值.
更多Objective To explore the curative effect and complication of transcutaneous transcatheter uterine arterial embolization in the treatment of postpartum hemorrhage .Methods 76 cases with postpartum hemorrhage of conservative treatment invalid in the General Hospital of Huainan Oriental Hospital Group from January 2011 to January 2017 , received digital subtraction angiography ( DSA ) to make clear the site of hemorrhage , then bilateral uterine artery embolization was given .Results Seventy -six patients have stopped bleeding immediately after embolization,3 cases were significantly reduced .Bleeding stopped completely after nearly one week of treatment .Mild fever after embolization appearred unable to pain in the lower abdomen ,1 case had hip pain .Conclusion Transcuta-neous transcatheter uterine artery embolization in the treatment of postpartum hemorrhage has advantages of quick hemostasis,less trauma,less complications and preserving the uterus fertility ,which has high clinical value .
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