论文部分内容阅读
目的 分析不同原因产后大出血的盆腔动脉造影征象。方法 收集 10例产后大出血行介入栓塞治疗患者的盆腔动脉造影结果进行分析,并与临床资料对比。结果 5例宫缩乏力性出血的造影征象为双侧子宫动脉上行支明显造影剂外溢,呈不规则结节状,或片状,或弥漫性外溢; 2例剖宫产术后子宫切口愈合不良的造影可见原子宫切口部位片状或条索状或团状外溢的造影剂;2例软产道裂伤者,造影显示子宫动脉上行支显现清晰,一侧或两侧的子宫动脉下行支有明显片状造影剂外溢; 1例子宫血管畸形造影显示左侧子宫动脉上行支的一个分支明显增粗,造影剂直通宫腔。结论 不同原因产后出血的盆腔动脉造影有其特殊的影像学征象;盆腔动脉造影结合临床资料和其他辅助检查,可以为产后出血的原因分析提供更为准确、更为直观的临床诊断依据。
Objective To analyze pelvic arteriography with postpartum hemorrhage due to different causes. Methods Ten cases of postpartum hemorrhage were treated by embolization in patients with pelvic artery angiography were analyzed and compared with clinical data. Results 5 cases of uterine inert bleeding signs of bilateral uterine artery as the upstream branch of significant contrast agent overflow, irregular nodular, or flake, or diffuse spillover; 2 cases of uterine incision after cesarean section incision healing Of the uterine incision can be seen at the site of lamellar or cord-like or group-like spillover contrast agent; 2 cases of soft birth canal laceration, uterine artery angiography showed clear upward branch, uterine artery on one or both sides of the descending branch was significantly Flaky contrast agent overflow; 1 case of uterine angiography showed a branch of the left uterine artery significantly thicker branches, contrast agent through the uterine cavity. Conclusions Pelvic arteriography with postpartum hemorrhage has its own special imaging features for different reasons. Combined with clinical data and other auxiliary examinations, pelvic artery angiography can provide a more accurate and more direct basis for clinical diagnosis of postpartum hemorrhage.