子宫动脉栓塞治疗产后大出血的临床价值

目的探讨子宫动脉栓塞治疗产后大出血的价值。方法采用Seldinger技术对14例难治性产后大出血进行超选择性子宫动脉栓塞治疗。结果经子宫动脉栓塞12例、髂内动脉栓塞2例；13例栓塞后出血停止，2例因止血不完全而行子宫次全切除术；12例随访3～10月患者均有规律的月经来潮，无严重并发症发生。结论子宫动脉栓塞治疗产后大出血疗效确切，具有止血快、副作用小的特点。

The clinical value of uterine arterial embolization treatment in postpartum hemorrhage

Objective To investigate the value of uterial arterial embolization treatment of postpartum hemorrhage.Methods 14 patients with postpartum hemorrhage failed to the drugs treatment were performed supersellective uterial arterial embolization by Seldinger technique.Results 12 case were successfully embolized through uterial artery,2 cases were embolized by arteria iliaca interna;Bleeding were cessation after the arterial embolization in 12 patients,Subtotal hysterectomy were performed in 2 cases because of incomplete haemostasis;The followup study showed that 12 patients had normal menstrual periods in 3-10 months and no serious complications were found.Conclusion Uterial arterial embolisis is an effective method for postpartum hemorrhage,with the characteristic of fast hemostasis and less complications.