介入治疗在难治性产后出血中的应用

目的探讨介入导管动脉栓塞术（Transcatheter Arterial Embolization，TAE）治疗难治性产后出血的临床效果。方法对11例患者采用Sedinger技术行双髂内动脉插管，造影确认后注入明胶海绵颗粒阻断血供，行子宫动脉栓塞或髂内动脉栓塞。结果11例患者均获得有效止血，无一例复发，并保留了子宫和卵巢生理功能。结论介入导管动脉栓塞术治疗难治性产后大出血具有止血迅速，疗效可靠，创伤小，并发症少等特点，不仅能挽救产妇的生命，而且能保留子宫，值得推广应用。

Application of lnterventional Therapy for Intractable Postpartum Hemorrhage

Objective To investigate the clinical effect of transcatheter arterial embolization on intractable postpartum hemorrhage. Methods Uterine arterial embolization （UAE） or internal iliac artery embolization （IIAE） was performed with gelfoam in 11 patients after internal iliac arterial catheterization by Sedinger technology was confirmed by digital subtraction angiography （DSA）. Results Effective hemostasis was obtained in all patients, no recrudescence occurred, and the functions of uterus and ovary were preserved. Conclusion TEA is an effective method for treating postpartum massive hemorrhage,it can stanch instantly with minor trauma, and have few complications, not only patients＇ life but also their uterine are saved.