难治性产科出血的血管造影栓塞术
Angiographic embolization for intractable obstetrical bleeding.
作者信息
Tandon Pooja, Juneja Sunil Kumar, Mohan Bishav
机构信息
Department of Obstetrics and Gynaecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Department of Cardiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
出版信息
Int J Appl Basic Med Res. 2014 Jan;4(1):25-7. doi: 10.4103/2229-516X.125681.
AIMS AND OBJECTIVES
The objective of this study is to review the clinical profile and outcome in patients requiring the angiographic embolization in obstetrics.
METHODS
The retrospective data of patients requiring uterine artery embolization for control of obstetrical hemorrhage was studied during the period from August, 2005 to August, 2010.
RESULTS
A total of 35 patients with obstetrical hemorrhage (seven post lower segment caesarean section, 13 post vaginal delivery, 13 postabortal, one with cervical pregnancy and one patient post laparotomy for abdominal pregnancy) underwent angiographic embolization for control of bleeding. In all patients, hemorrhage was successfully controlled; none required post procedure hysterectomy and one patient subsequently became pregnant with in a year.
CONCLUSION
Our clinical experience suggests that embolization is superior first-line alternatives to surgery for control of obstetric hemorrhage including postpartum, post-cesarean and postabortal bleeding and prevents hysterectomy.
目的
本研究的目的是回顾产科中需要进行血管造影栓塞术的患者的临床概况及治疗结果。
方法
研究了2005年8月至2010年8月期间因控制产科出血而需要进行子宫动脉栓塞术的患者的回顾性数据。
结果
共有35例产科出血患者（7例下段剖宫产术后，13例阴道分娩后，13例流产后，1例宫颈妊娠，1例腹腔妊娠剖腹产后）接受了血管造影栓塞术以控制出血。所有患者的出血均成功得到控制；术后无一例需要行子宫切除术，1例患者随后在一年内怀孕。
结论
我们的临床经验表明，对于控制包括产后、剖宫产术后和流产后出血在内的产科出血，栓塞术是优于手术的一线治疗选择，且可避免子宫切除术。
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