髂内动脉栓塞术治疗难治性产后出血临床效果

目的观察髂内动脉栓塞术治疗难治性产后出血的临床效果。方法对8例难治性产后出血患者采用髂内动脉栓塞术治疗,通过数字减影血管造影(DSA)明确盆腔血管走向及造影剂外溢情况后,双侧分别注入明胶海绵栓塞。结果8例患者栓塞治疗均一次成功,手术时间短、止血速度快,并且保留子宫及其生理功能,临床随访无严重并发症。结论髂内动脉栓塞术是治疗难治性产后出血的一种快速、安全、有效方法。

The internal iliac artery embolization for intractable postpartum hemorrhage

Objective To evaluate the clinical efficacy of internal iliac artery embolization in the treatment of intractable postpartum hemorrhage.Methods 8 patients with intractable postpartum hemorrhage were treated with bilateral internal iliac artery embolization with gelfoam particles,when the catheter tip was showed to be in the appropriate position.Digital subtraction angiography(DSA) was used to show the pelvic blood vessels and the catheter tip.Results Internal iliac artery embolizations were performed successfully at the first attempt in all the 8 patients,the procedures only took a short time and stopped postpartum hemorrhage immediately.Uterus and its physiological function were reserved,no serious complications occurred.Conclusion Internal iliac artery embolization is a quick,safe and effective remedy for intractable postpartum hemorrhage.