动脉栓塞治疗产后出血12例的临床观察

目的:探讨介入治疗产后出血的临床效果和远近期的并发症。方法:对12例不同出血量的产后出血产妇进行数字减影造影(DSA)技术选择子宫动脉或髂内动脉栓塞治疗。结果:12例患者均达到止血效果,其中3例栓塞术后清宫清除残留胎盘组织,术后随访8个月均无复发性出血及严重并发症。结论:动脉栓塞治疗产后出血效果良好、止血迅速、并发症少,有较好的临床应用价值。

Clinical observation on 12 cases with postpartum hemorrhage treated by artery embolization

Objective:To explore the clinical effect,short-term and long-term complications of interventional therapy in treatment of postpartum hemorrhage.Methods:Twelve lying-in women with postpartum hemorrhage of different amounts of blood loss underwent embolization treatment via uterine artery or internal iliac artery under digital subtraction angiography(DSA).Results:Hemorrhage was stopped among the twelve patients,3 patients underwent uterine curettage to clear placental tissue after embolization treatment,no recurrent hemorrhage and severe complications occurred after follow-up for eight months.Conclusion:Embolization treatment has the advantages of good clinical efficacy,instantly stopping bleeding,and few complications,which has good clinical application value.