摘要
目的探讨急诊血管内栓塞治疗妇产科大出血的疗效、安全性、价值。方法回顾性分析我院69例经超选择性子宫动脉或髂内动脉栓塞和或卵巢动脉栓塞治疗妇产科大出血患者的资料。结果所有患者都栓塞成功,其中8例有卵巢动脉参与供血,68例介入术后无再出血,1例术后2小时因再次出血行子宫切除;无手术相关严重并发症发生。结论血管内栓塞治疗妇产科大出血安全、创伤小、有效,不影响患者的卵巢功能,能够保存患者生育能力;为提高栓塞效果,寻找并栓塞可能供血的卵巢动脉有时是必需的。
Objective To explore the efficacy , safety and value of emergently endovascular embolization in the treatment of gynecological and obstetrical massive hemorrhage .Methods The data of 69 patients with Gynecologic and obstetric massive hemorrhage received super selective uterine arterial embolization or internal iliac arterial embolization or/and ovarian arterial embolization in our hospital from January 2012 to March 2015 was analyzed retrospectively .Results All cases were embolized successfully , in eight of which ovarian artery participated in blood supply of lesions partly .the bleeding was controlled completely after interventional therapy in 68 patients , 1 case underwent hysterectomy because of re-bleeding 2 hours after procedure . No severe complication related to the procedure occurred .Conclusions Endovascular embolization for the treatment of gynecological and obstetrical massive hemorrhage is safe , relatively noninvasive, effective, and does not cause ovarian dysfunction , while fertility of the patients can also be preserved .To improve the effect of interventional therapy, it is necessary to search for and embolize the ovarian artery that supply to the uterine bleeding lesion .
出处
《齐齐哈尔医学院学报》
2015年第32期4907-4910,共4页
Journal of Qiqihar Medical University
关键词
大出血
妇产科
血管内栓塞
子宫动脉
卵巢动脉
Massive hemorrhage
Gynecologic and obstetric
Endovascular embolization
Uterine artery
Ovarian artery
