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动脉栓塞治疗难治性产后出血24例临床分析

肖玲 肖英 王心 尚丽新

中国妇幼健康研究Issue(5):775-776,789,3.
中国妇幼健康研究Issue(5):775-776,789,3.DOI:10.3969/j.issn.1673-5293.2013.05.056

动脉栓塞治疗难治性产后出血24例临床分析

Clinical analysis of massive postpartum hemorrhage treated by uterine artery embolization in 24 cases

肖玲 1肖英 1王心 1尚丽新1

作者信息

  • 1. 北京军区总医院,北京100700
  • 折叠

摘要

Abstract

Objective To investigate the clinic effect of uterine artery embolization ( UAE ) on massive postpartum hemorrhage on emergency.Methods Totally 24 patients with massive postpartum hemorrhage were selected , who were hospitalized in Beijing Command General Hospital during the period of January 2008 to December 2012.Embolization treatment with gelfoam (GF) via uterine artery under digital subtraction angiography ( DSA) showed the original site of the hemorrhage with Seldingers technique .Results Twenty-two of 24 patients(91.7%) were successfully treated with embolization , and the other 2 patients (8.3%) had hysterectomy because of failure of embolization.Two patients with placenta increta (8.3%) had received MTX after AE .There was no any severe complication .Conclusion UAE is effective and safe, and it has the advantages of short operation and fertility-preserving.It is one of the important methods to treat massive postpartum hemorrhage .

关键词

产后出血/动脉栓塞/子宫动脉/临床分析

Key words

postpartum hemorrhage/artery embolization ( AE)/uterine artery/clinical analysis

分类

医药卫生

引用本文复制引用

肖玲,肖英,王心,尚丽新..动脉栓塞治疗难治性产后出血24例临床分析[J].中国妇幼健康研究,2013,(5):775-776,789,3.

中国妇幼健康研究

OACSTPCD

1673-5293

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