Belghiti J, Tassin M, Raiffort C, Zappa M, Poujade O, Bout H, Mandelbrot L
Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France.
Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
Gynecol Obstet Fertil. 2014 Feb;42(2):126-128. doi: 10.1016/j.gyobfe.2011.07.045. Epub 2012 Feb 16.
Radiologic embolization of the uterine arteries is increasingly used to treat severe postpartum hemorrhage, as an alternative to surgical procedures. Guidelines have been published in order to standardize the indications as well as the technique. An important objective was to limit severe complications such as uterine necrosis. We report a case of a uterine necrosis after arterial embolization for severe postpartum hemorrhage due to uterine atony on a uterus with fibroids. This complication occurred despite the use of the recommended technique.
子宫动脉放射栓塞术越来越多地被用于治疗严重产后出血,作为外科手术的替代方法。为了规范适应症和技术,相关指南已经发布。一个重要目标是限制诸如子宫坏死等严重并发症。我们报告一例因子宫肌瘤子宫收缩乏力导致严重产后出血而行动脉栓塞术后发生子宫坏死的病例。尽管采用了推荐技术,该并发症仍发生了。