子宫动脉插管栓塞在妇产科良性疾病应用进展

子宫动脉插管栓塞是治疗妇科及产科各种出血的有效方法之一。生殖道及盆腔出血传统的治疗方法是局部保守治疗失败后行双侧的髂内动脉或子宫动脉结扎术 ,对于子宫动脉结扎后仍有顽固性出血的病人 ,为了挽救病人的生命 ,则行子宫全切术 ,病人失去了再生育的机会。手术治疗的缺点包括髂内动脉结扎的失败率高 ,需全身麻醉 ,术后易有并发症如感染、出血及输尿管损伤。六十年代 ,诊断性血管造影术是用于胃肠道手术探查止血失败 ,以明确动脉出血病灶的部位 ,随后有了多种经皮穿刺治疗胃肠道出血的方法 ,包括动脉内注入血管收缩剂 ,Ｗｈｏｌｅｙ气囊…

Application of transcatheter arterial embolization in obstetric and gynecologic disorders

Transcatheter arterial embolization has recently emerged as a highly effective percutaneous technique for controlling acute and chronic genital bleeding in a wide variety of obstetric and gynecologic disorders Benefits for the patient and health care system have included low complication rates, avoidance of surgical risks, fertility preservation In this article the current indications for pelvic embolotherapy, technical considerations, complications, and outcome expectations are discussed The literature suggest that embolization should be used before surgical treatment of nonmalignant pelvic bleeding in many clinical settings, including postpartum, postcesarean, and postoperative bleeding. So transcatheter arterial embolization is a highly effective, relatively noninvasive method of treating benign disorders in obstetric and gynecology