刮宫后子宫动脉出血的急诊介入性诊断及治疗

目的　探讨刮宫后子宫动脉出血的介入性诊断及治疗的可行性。方法　选择刮宫后子宫动脉出血急诊病人为研究对象 ;采用Seldinger法经股动脉穿刺插管 ,导管超选双侧子宫动脉造影 ,显示出血部位后 ,行子宫动脉栓塞术。结果　 3例病人经DSA明确诊断 ,并在DSA下行子宫动脉栓塞术 ,术后复查造影及临床观察无出血再发生 ,未出现严重并发症。结论　子宫动脉的DSA造影和DSA下介入栓塞子宫动脉是诊断及治疗刮宫后子宫动脉出血急诊行之有效的方法。

Interventional diagnosis and treatment in emergent uterine artery bleeding after curettage

Objective To discuss the possibility of interventional diagnosis and treatment of uterine artery bleeding after curettage. Methods Select the emergent patients with uterine artery bleeding after curettage as the basis for study. Three women with uterine artery bleeding underwent femoral artery puncture and transcatheter uterine artery embolization. Bilateral selective artery angiographies were performed, and then underwent artery embolization after exhibiting the bleeding sites. Results Three patients were promptly and correctly diagnosed and arterial embolization were then attempted under DSA. No recurrence of bleeding during the angiographic and clinical follow up simultaneously with no serious complication. Conclusions Uterine arterial DSA and interventional embolization of uterine artery are effective in the diagnosing and treatting emergent uterine artery bleeding after curettage.