中国实用妇科与产科杂志2025，Vol.41Issue(4)：466-469,4.DOI:10.19538/j.fk2025040117
妇科术后出血行超选择性动脉栓塞术介入治疗临床疗效分析
Clinical diagnosis and treatment analysis of postoperative gynecologic hemorrhage undergoing super-selective arterial embolization intervention
摘要
Abstract
Objective To investigate the value of super-selective arterial embolization in bleeding after gynecologic surgery.Methods From May 2013 to May 2020 at the First Affiliated Hospital of Zhengzhou University,15 patients with postoperative gynecological hemorrhage,for whom conservative treatment was ineffective,underwent arteriography;after the hemorrhage site was clarified,the polyvinyl alcohol particles plus gelatin sponge was applied for embolization,and its therapeutic effect was analyzed.Results After super-selective arterial embolization,bleeding stopped within 48 h in all 15 patients,among which bleeding stopped immediately in 7 patients;8 patients still had a small amount of bleeding:bleeding gradually stopped within 12 h in 2 patients,bleeding gradually stopped within 24 h in 4 patients,and bleeding gradually stopped within 48 h in 2 patients.The hemostatic efficiency of the patients reached 100％.There were only mild postoperative complications such as fever,lower abdominal and hip pain,all of which were relieved with symptomatic management.Conclusion Super-selective arterial embolization is an effective method of treating postoperative gynecological bleeding,which not only avoids the risk of a second surgery and anesthesia endured by the patient,but also increases the chance of uterine preservation.Therefore,it can be used as,a preferred method of hemostasis after gynecological surgery.关键词
动脉栓塞术/妇科术后出血/保留子宫/动脉造影Key words
arterial embolization/postoperative gynecologic bleeding/uterine preservation/arteriography分类
医药卫生引用本文复制引用
褚丹霞,褚金蒙,张建好,吴杰,来天娇,陈志华,郭瑞霞..妇科术后出血行超选择性动脉栓塞术介入治疗临床疗效分析[J].中国实用妇科与产科杂志,2025,41(4):466-469,4.基金项目
河南省卫健委省部共建重点项目(SBGJ202302074) Henan Provincial Key Project of Science and Technology Research(SBGJ202302074) （SBGJ202302074）
