选择性子宫动脉栓塞治疗妇产科术后出血的疗效分析

目的 探讨选择性子宫动脉栓塞治疗妇产科术后出血的疗效.方法 回顾性分析19例因妇产科术后出血行选择性子宫动脉栓塞治疗患者的临床资料,其中剖宫产术后15例,子宫切除术后4例.结果 19例患者均为子宫动脉出血,全部患者经数字减影血管造影（DSA）明确诊断并进行栓塞治疗,均一次性栓塞止血成功,所有患者均无器官缺血坏死、功能障碍等并发症发生.结论 DSA在妇产科术后出血的诊断及介入治疗上具有微创性、疗效显著、不良反应少、恢复快、更易被患者接受等优点,选择性子宫动脉栓塞治疗在妇产科领域有着广泛的应用和发展前景.

Clinical effect of selective uterine artery embolization in obstetrics and gynecology postoperative bleeding

Objective To investigate the clinical effect of selective uterine artery embolization in obstetrics and gynecology postoperative bleeding.Methods The clinical data of 19 patients with obstetrics and gynecology postoperative bleeding undergoing selective uterine artery embolization were analyzed retrospectively,including 15 cases of cesarean and 4 cases of uterectomy.Results Nineteen patients were uterine artery bleeding.All patients were diagnosed by digital subtraction angiography （DSA） and embolization were disposable success.No complications such as organ necrosis or visceral dysfunction occurred.Conclusions DSA has advantages of minimally invasive,significant effect,less adverse reaction,quick recovery and easier to be accepted by the patients in diagnosis and interventional treatment of postoperative bleeding in obstetrics and gynecology.Selective uterine artery embolization has a wide range of application and development prospect in the field of obstetrics and gynecology.