| 选择性双侧子宫动脉栓塞治疗产后大出血 |
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| 引用本文： | 林坚,李卓永,梁宇闯,杨锦钊,李宗业,柯欣. 选择性双侧子宫动脉栓塞治疗产后大出血[J]. 徐州医学院学报, 2009, 29(7): 465-467 |
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| 作者姓名： | 林坚 李卓永 梁宇闯 杨锦钊 李宗业 柯欣 |
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| 作者单位： | 江门市中心医院放射科,广东,江门,529030 |
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| 摘 要： | 目的评价使用罗伯特子宫动脉导管行选择性双侧子宫动脉栓塞治疗产后大出血的临床价值。方法使用罗伯特子宫动脉导管对10例经保守治疗无效的产后大出血患者行双侧子宫动脉选择性插管,再用明胶海绵行栓塞治疗。结果10例产后大出血患者选择性双侧子宫动脉插管均获得成功,栓塞后所有病例均停止出血,未出现严重的并发症。结论双侧子宫动脉栓塞治疗产后大出血是一种安全有效的治疗方法。罗伯特子宫动脉导管插管成功率高,能够显著缩短操作时间。
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| 关 键 词： | 产后出血 子宫动脉 动脉栓塞 |
Treatment of serious postpartum hemorrhage by selective bilateral uterine arterial embolization |
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| LIN Jian,LI Zhuoyong,LIANG Yuchuang,YANG Jinzhao,LI Zongye,KE Xin. Treatment of serious postpartum hemorrhage by selective bilateral uterine arterial embolization[J]. Acta Academiae Medicinae Xuzhou, 2009, 29(7): 465-467 |
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| Authors: | LIN Jian LI Zhuoyong LIANG Yuchuang YANG Jinzhao LI Zongye KE Xin |
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| Affiliation: | (Department of Radiology, Jiangmen Central Hospital, Jiangmen, Guangdong 529030, China) |
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| Abstract: | Objective To evaluate the clinical value of Roberts uterine catheter RUC） in the treatment of serious postpartum hemorrhage by selective bilateral uterine arterial embolization. Methods 10 patients with serious postpartum hemorrhage with no response to the medication underwent selective bilateral uterine artery catheterization by using RUC, followed by arterial embolization with gelfoam sponge. Results The success rate of superselective catheterization is 100%. All the 10 cases with hemorrhage were successfully under control after the arterial embolization, with no occurrence of serious complications. Conclusions Bilateral uterine arterial embolization is a safe and effective way to treat serious postpartum hemorrhage. RUC is easy to manipulate and can significantly shorten procedural time and improve success rate. |
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| Keywords: | postpartum hemorrhage uterine artery arterial embolization |
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