选择性动脉栓塞术治疗妇产科急症出血的临床应用

目的研究选择性髂内动脉栓塞术或子宫动脉栓塞术在妇产科急症出血中的应用。方法选择性双侧髂内动脉或子宫动脉栓塞术治疗59例妇产科急症出血患者，其中产后大出血30例，绒癌出血5例，子宫内膜癌出血8例，宫颈癌出血16例。对肿瘤患者用化疗药物加碘油混悬液、明胶海绵栓塞；对产后出血、宫内残留患者用明胶海绵栓塞。结果59例妇产科急症出血患者均一次经皮双髂内动脉栓塞术治疗止血成功，手术时间30～50min，平均42．2±4．8min，无严重并发症发生。结论选择性动脉栓塞术对经保守治疗无效的妇产科急症出血具有确切的疗效。

Efficacy of transcatheter uterine artery embolization for treating emergency hemorrhage in obstetrics and gynecology

Objective To evaluate the efficacy of selective iliac artery embolization （TAE） or uterine artery embolization （UAE） for treatment of emergency hemorrhage in obstetrics and gynecology. Methods Selective bilateral TAE or UAE were performed on 59 patients with acute cervical hemorrhage from postpartum hemorrhage （30）, cervical cancer （16）, endometrial cancer （8）, and choriocarcinoma （5）. Gelfoam particles were used in postpartum hemorrhage; chemotherapeutics and Iodipin suspension were used in malignancy. Results Bleeding was stopped completely in all 59 patients with TAE or UAE procedure time of 30-50 minutes （mean：42.17±4.78 minutes）.There were no serious complications. Conclusion TAE or UAE are effective for treating emergency hemorrhage in obstetrics and gynecology.