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目的:评价经导管急诊动脉栓塞治疗产后大出血的临床疗效。方法:35例产后大出血患者,平均出血量>2 000 m l,通过数字减影血管造影明确出血动脉后,超选择性插管,经导管注入明胶海绵颗粒及明胶海绵块进行栓塞。结果:33例患者一次栓塞后完全止血,2例栓塞不彻底患者行第二次补充栓塞卵巢动脉后,出血消失,随访6个月均无复发。结论:急诊动脉栓塞治疗产后子宫大出血既安全、有效,又无严重并发症发生,值得临床推广使用。
Objective: To evaluate the clinical efficacy of transcatheter arterial embolization in the treatment of postpartum hemorrhage. Methods: 35 patients with postpartum hemorrhage, the average bleeding> 2000 m l, by digital subtraction angiography clearly after the bleeding artery, super selective intubation, catheterization of gelatin sponge particles and gelatin sponge block embolization. Results: Thirty-three patients were completely hemostatic after one embolization, and two patients with incomplete embolization did not complete hemorrhage after the second embolization of ovarian artery. There was no recurrence after 6 months of follow-up. Conclusions: Emergency arterial embolization is safe and effective in the treatment of postpartum uterine bleeding without serious complications, which is worthy of clinical promotion.