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子宫动脉栓塞治疗产后大出血
引用本文:李卫,曹正生,张力. 子宫动脉栓塞治疗产后大出血[J]. 现代医用影像学, 2004, 13(2): 55-56
作者姓名:李卫  曹正生  张力
作者单位:江苏省镇江市第一人民医院放射科,212002
摘    要:目的:评价子宫动脉栓塞治疗产后大出血的临床价值。材料与方法:本组12例,其中顺产5例,剖宫产7例,所有病例均在DSA监控下,急诊进行髂内动脉造影并行两侧超选择性子宫动脉栓塞,栓塞剂为明胶海绵。结果:栓塞后即刻止血10例,1例栓塞后3小时再出血急诊手术切除子宫,1例栓塞后再出血又一次栓塞后止血,所有病例无严重并发症发生。结论:子宫动脉栓塞治疗产后大出血是一种止血迅速、操作简便、创伤小而安全的方法。

关 键 词:子宫动脉栓塞 产后出血 保守治疗 造影剂

Treatment of Serious Postpartum Hemorrhage by Embolizing Uterus Artery
Li Wei Cao Zhengsheng Zhang Li. Treatment of Serious Postpartum Hemorrhage by Embolizing Uterus Artery[J]. Modern Medical Imagelogy, 2004, 13(2): 55-56
Authors:Li Wei Cao Zhengsheng Zhang Li
Affiliation:Li Wei Cao Zhengsheng Zhang LiDepartment of Radiology,the First Hospital of Zhenjiang Jiangsu 212002
Abstract:Purpose:To evaluate the efficacy of uterus artery embolization in the treatment of serious postpartum hemorrhage.Materials and Methods:12 patients with postpartum hemorrhage including spontaneous postpartum (5 cases),and postcesarean bleeding (7 cases).All cases were taken arteriography of internal iliacartery,Uterus artery of two sides were emboized.Embolus were glutin sponge.Results:10 cases with postpartum hemorrhage were successfully controlled,1 cases were treated by resecting womb because of rebleedin after embolizing,Another case were treated by embolizing again.No serious complication happened.Conclusion:Uterus artery embolization is a safe,quick,simple and effective therapeutic measure for treatment of massive postpartum hemorrhage.
Keywords:Embolism Uterus artery Postpartum hemorrhage
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