Bakri Y N, Linjawi T
Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Acta Obstet Gynecol Scand. 1992 Jan;71(1):17-21. doi: 10.3109/00016349209007941.
Fourteen patients with intractable bleeding of obstetric or gynecological origin underwent transcatheter angiographic arterial embolization. Three patients had postpartum hemorrhage associated with dilutional coagulopathy, anticoagulant therapy and placental leukemic metastases, or placenta percreta. One patient had locally advanced gestational trophoblastic tumor, one had uterine sarcoma and 8 had advanced cervical malignancy. Bleeding was completely controlled in all patients regardless of the initiating event. The embolizing material was gelatin sponge particles in 12 patients, and spring coil in 2. In experienced hands, angiographic arterial embolization is a safe, effective and less invasive alternative to surgical ligation in some clinical states of pelvic female genital tract hemorrhage.
14例源于妇产科的顽固性出血患者接受了经导管血管造影动脉栓塞术。3例患者出现产后出血，伴有稀释性凝血障碍、抗凝治疗及胎盘白血病转移或胎盘植入。1例患者患有局部晚期妊娠滋养细胞肿瘤，1例患有子宫肉瘤，8例患有晚期宫颈癌。无论引发事件如何，所有患者的出血均得到完全控制。12例患者使用的栓塞材料为明胶海绵颗粒，2例使用的是弹簧圈。在经验丰富的医生操作下，血管造影动脉栓塞术在女性盆腔生殖道出血的某些临床情况下是一种安全、有效且侵入性较小的手术结扎替代方法。
