经导管动脉灌注及栓塞术在妇产科出血疾病中临床应用.docVIP

经导管动脉灌注及栓塞术在妇产科出血疾病中临床应用[摘要] 目的：探讨经导管动脉灌注和栓塞术在妇产科出血疾病中应用的有效性及安全性。方法：对2007年9月～2010年9月在本院行急诊介入治疗的15例临床患者，观察治疗效果及预后。结果：15例患者治疗均获成功，且住院时间短，无明显并发症。结论：经过导管动脉灌注和栓塞术治疗妇产科出血性疾病疗效好，且安全可靠。 [关键词] 妇产科出血；子宫动脉；灌注术；栓塞术；明胶海绵 [中图分类号] R711 [文献标识码] A[文章编号] 1674-4721（2011）07（c）-007-02 The clinical applications of transcatheter arterial infusion and embolization in gynaecology and obstetrics haemorrhage disease LUO Yingchun1, YU Jiang2, WANG Hongzhi3 1.Department of Gynecology, People′s Liberation Army 181 Hospital, Guangxi Zhuang Autonomous Region, Guilin 541002, China; 2.Department of Maternity and Child Center, People′s Liberation Army 181 Hospital, Guangxi Zhuang Autonomous Region, Guilin 541002, China; 3.Department of Intervention Room, People′s Liberation Army 181 Hospital, Guangxi Zhuang Autonomous Region, Guilin 541002, China [Abstract] Objective: To study the efficacy and safety of the clinical applications of transcatheter arterial infusion and embolization in gynaecology and obstetrics haemorrhage disease. Methods: Observed the curative effect of the clinical experience of 15 cases who were on the emergency intervention treatment line in our hospital, from September 2007 to September 2010 and then did the prognosis. Results: All 15 patients were operated with success, there was a shorter hospitalization time and there were no obvious complications. Conclusion: After transcatheter arterial infusion, embolization in gynaecology, obstetrics haemorrhagic disease there is a good curative effect, it is safe and reliable. [Key words] Obstetrics and gynaecology haemorrhage; Uterine artery; Perfusion decompression; Embolization; Gelatin sponge 随着流产、剖宫产率的不断上升，随之而来的切口妊娠、宫颈妊娠、产后胎盘植入等也随之增加；随着介入医学在妇产科领域的开展应用，特别是经过导管灌注和栓塞术的运用降低了患者并发症及死亡率，笔者回顾分析本院对15例妇产科出血性疾病患者介入治疗资料，取得了满意效果，现报道如下： 1 资料与方法 1.1 一般资料 观察对象为2007年9月～2010年9月在本院行介入治疗的15例临床患者，其中，切口妊娠大出血3例，宫颈妊娠大出血2例，产后胎盘植入5例，引产后胎盘植入2例，前置胎盘剖宫产产后大出血2例，葡萄胎清宫术中大出血1例；患者年龄为24～43岁，平均27.56岁，均出血量在500～3 000 ml，所有患者均行床边B超了解妊娠部位、胎