子宫动脉栓塞治疗产后大出血临床分析

目的 探讨产后大出血急诊子宫动脉栓塞止血的价值.方法 对23例产后大出血保守治疗无效产妇采用seldinger技术行股动脉穿刺,通过数字减影血管造影(DSA),并于导丝引导下超选择插入双侧子宫动脉,行子宫动脉栓塞术.结果 23例产后大出血产妇经急诊子宫动脉栓塞后出血停止.结论 子宫动脉栓塞治疗产后大出血,快速有效,成功率高,并发症少,并且能保留子宫.

Clinical observation of treatment of postpartum hemorrhage by uterine artery embolization

Objective To investigate the clinical effect of uterine artery embolization （UAE） in massive postpartum hemorrhage. Methods 23 patients with postpartum hemorrhage/ailing to respond to any medical treatment underwent femoral artery puncture by Seldinger technique,followed by catheterization of the bilateral uterine arteries using supper-selection technique by DSA. The patients were treated with artery embolization. Results UAE for the 23 patients with postpartum hemorrhage was successful. Conclusion The therapy is a reliable method with tile advantage of stopping bleeding rapidly,improving the rate of success, decreasing complications and saving the uterus.