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放射介入治疗产后大出血(附13例报告)
引用本文:汤一川,钟影,邹光友,张笑梅,付稼虹,柳怡,张勇武,颜焰.放射介入治疗产后大出血(附13例报告)[J].四川医学,2003,24(8):784-785.
作者姓名:汤一川  钟影  邹光友  张笑梅  付稼虹  柳怡  张勇武  颜焰
作者单位:成都市锦江妇产科医院,四川,成都,610016
摘    要:目的 探讨子宫动脉栓塞术(uterine arterial emlbolization,UAE)或髂内动脉栓塞术(internal iliac artery embolization,IIAE)治疗产后大出血临床效果。方法 对13例不同原因的产后大出血采用明胶海绵为栓塞剂行UAE,或IIAE治疗。结果 所有病例均一次栓塞成功,止血效果100%,无严重并发症。结论 UAE或IIAE是治疗产后大出血的有效方法,它具有止血迅速、疗效肯定、手术时间短、创伤小、保留子宫等优点,是替代子宫切除治疗产后大出血更有效的方法。

关 键 词:产后出血  子宫动脉  髂内动脉  放射介入
文章编号:1004-0501(2003)08-0784-02
修稿时间:2003年6月4日

Uterine arterial embolization treatment of postpartum hemorrhage:a report of 13 cases
Tang Yichuan,Zhong Ying,Zou Guangyou,et al..Uterine arterial embolization treatment of postpartum hemorrhage:a report of 13 cases[J].Sichuan Medical Journal,2003,24(8):784-785.
Authors:Tang Yichuan  Zhong Ying  Zou Guangyou  
Institution:Tang Yichuan,Zhong Ying,Zou Guangyou,et al. Chengdu Jingjiang Obstetrics and Gynecology Hospital,Chengdu,Sichuan 610016
Abstract:Objective To probe into the clinical effects of uterine arterial embolization(UAE) or internal iliac artery embolization(IIAE) on postpartum massive hemorrhage. Methods UAE/IIAE was performed with isinglass sponge in 13 different causal postpartum massive hemorrhage cases. Results The embolization succeed in all cases with the first treatment. The stanching rate was 100% and no severe complication was observed. Conclusion UAE/IIAE characterized by its instant stanching,certain curative effect,short operation time,minor trauma,and uterine saving etc,is a more effective way than the hysterectomy for the treatment of postpartum massive hemorrhage,and is a good substitute for the latter.
Keywords:postpartum hemorrhage  uterine artery  internal iliac artery  embolization
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